Individual provider · NPI-1

Myah Tarnow Gittelson, Psy.D.

Psychologist · Valley Village, CA

NPI number1861637589

StatusActive

Last updated in NPPESJan 15, 2025

Details

NPI: 1861637589
Entity type: Individual (NPI-1)
Name: Myah Tarnow Gittelson
Credential: Psy.D.
Sex: Female
Sole proprietor: Yes
Enumeration date: Dec 9, 2008
Certification date: Jan 15, 2025
Last updated: Jan 15, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
103T00000X	Psychologist	Psy24388	CA	Yes
103T00000X	Psychologist	102803 provisional	NC

Practice location

4705 Laurel Canyon Blvd Ste 204
Valley Village, CA 91607-3998

Phone 818-538-4112

Mailing address

4705 Laurel Canyon Blvd Ste 204
Valley Village, CA 91607-3998

Phone 818-538-4112

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