Provider Demographics
NPI:1457384604
Name:GARABEDIAN, MELINDA JUDITH (PHD)
Entity Type:Individual
Prefix:DR
First Name:MELINDA
Middle Name:JUDITH
Last Name:GARABEDIAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:28348 ROADSIDE DR STE 201
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-2596
Mailing Address - Country:US
Mailing Address - Phone:805-558-5852
Mailing Address - Fax:818-699-6053
Practice Address - Street 1:28348 ROADSIDE DR STE 201
Practice Address - Street 2:
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-2596
Practice Address - Country:US
Practice Address - Phone:805-558-5852
Practice Address - Fax:818-699-6053
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 14322103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical