Balasanyan, Mariam Vasilyevna

Balasanyan, Mariam Vasilyevna is an individual health care provider with primary practice located at 600 St Paul Ave Suite 200, Los Angeles CA 90017-2038. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Balasanyan, Mariam Vasilyevna can be contacted via phone (213) 482-6400.

Contact Information

Primary practice address
600 St Paul Ave Suite 200 Los Angeles CA 90017-2038
Phone: (213) 482-6400
Fax: (213) 482-6408
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1720457682
LBN Legal business name Balasanyan, Mariam Vasilyevna
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2015
Last updated Nov 16th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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