Individual provider · NPI-1

Dr. Ebony Christian

Psychologist, Clinical · Valley Village, CA

NPI number1861322968
StatusActive
Last updated in NPPESSep 25, 2026

Details

NPI
1861322968
Entity type
Individual (NPI-1)
Name
Dr. Ebony Christian
Sex
Female
Sole proprietor
Yes
Enumeration date
May 20, 2026
Certification date
Sep 25, 2026
Last updated
Sep 25, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical36721CAYes

Practice location

12439 Magnolia Blvd Ste 225
Valley Village, CA 91607-2450

Phone 805-283-9845

Mailing address

12439 Magnolia Blvd Ste 225
Valley Village, CA 91607-2450

Phone 805-283-9845

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