Provider Demographics
NPI:1841581584
Name:APELIAN, TAMAR LISA (PSYD)
Entity type:Individual
Prefix:DR
First Name:TAMAR
Middle Name:LISA
Last Name:APELIAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5846 ALONZO AVE
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-1001
Mailing Address - Country:US
Mailing Address - Phone:818-517-3328
Mailing Address - Fax:888-974-5126
Practice Address - Street 1:16944 VENTURA BLVD
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-4144
Practice Address - Country:US
Practice Address - Phone:818-517-3328
Practice Address - Fax:888-974-5126
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-28
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY22922103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical