Provider Demographics
NPI:1770712689
Name:ABBASSI, SHERVIN (EDD, LMFT, MA)
Entity type:Individual
Prefix:MS
First Name:SHERVIN
Middle Name:
Last Name:ABBASSI
Suffix:
Gender:F
Credentials:EDD, LMFT, MA
Other - Prefix:MS
Other - First Name:SHERRI
Other - Middle Name:
Other - Last Name:ABBASSI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LMFT, EDD
Mailing Address - Street 1:3055 W ORANGE AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-3152
Mailing Address - Country:US
Mailing Address - Phone:714-638-8277
Mailing Address - Fax:
Practice Address - Street 1:23152 VERDUGO DR STE 150
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1374
Practice Address - Country:US
Practice Address - Phone:949-520-2720
Practice Address - Fax:949-215-4413
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-13
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA105217106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty