Provider Demographics
NPI:1780073437
Name:ZARNEGAR, GITA (PHD, PSYD, LMFT)
Entity type:Individual
Prefix:DR
First Name:GITA
Middle Name:
Last Name:ZARNEGAR
Suffix:
Gender:F
Credentials:PHD, PSYD, LMFT
Other - Prefix:DR
Other - First Name:GITA
Other - Middle Name:
Other - Last Name:ZARNEGAR-SCHLUSSEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD, PSYD, LMFT
Mailing Address - Street 1:255 S BEVERLY GLEN BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-2615
Mailing Address - Country:US
Mailing Address - Phone:310-995-4774
Mailing Address - Fax:
Practice Address - Street 1:255 S BEVERLY GLEN BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-2615
Practice Address - Country:US
Practice Address - Phone:310-995-4774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-19
Last Update Date:2015-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 24727101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health