Provider Demographics
NPI:1801988118
Name:ZAHEDI, NIMA ROBERT (PSYD/LCSW#23825)
Entity type:Individual
Prefix:DR
First Name:NIMA
Middle Name:ROBERT
Last Name:ZAHEDI
Suffix:
Gender:M
Credentials:PSYD/LCSW#23825
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6575 E PASEO MURILLO
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-4913
Mailing Address - Country:US
Mailing Address - Phone:619-621-0012
Mailing Address - Fax:
Practice Address - Street 1:6575 E PASEO MURILLO
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-4913
Practice Address - Country:US
Practice Address - Phone:619-621-0012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA238251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical