Provider Demographics
NPI:1811301559
Name:MEKHAIL-ANDREOU, TERIZA (PSYD, LMFT)
Entity type:Individual
Prefix:DR
First Name:TERIZA
Middle Name:
Last Name:MEKHAIL-ANDREOU
Suffix:
Gender:F
Credentials:PSYD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1435
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92822-1435
Mailing Address - Country:US
Mailing Address - Phone:714-515-4090
Mailing Address - Fax:866-449-0134
Practice Address - Street 1:1440 N HARBOR BLVD
Practice Address - Street 2:SUITE 900
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-4127
Practice Address - Country:US
Practice Address - Phone:714-515-4090
Practice Address - Fax:866-449-0134
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-19
Last Update Date:2014-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46944106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist