Dr. Afsaneh Roshangah Fuller, Psy.D.
Psychologist, Clinical in West Hills, CA. Individual provider (NPI-1).
NPI number1699485367
StatusActive
Last updated in NPPESDec 2, 2022
Details
- NPI
- 1699485367
- Entity type
- Individual (NPI-1)
- Name
- Dr. Afsaneh Roshangah Fuller
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 2, 2022
- Certification date
- Dec 2, 2022
- Last updated
- Dec 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 33765 | CA | Yes |
Practice location
23437 Kilty PlWest Hills, CA 91307-1422
Phone 818-914-9654
Mailing address
6520 Platt Ave # 281West Hills, CA 91307-3218
Phone 818-914-9654
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