FAZLOLLAH ALDAVOUD PhD
Individual Provider (NPI-1)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1619170958- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PhD
- Status
- Active
Contact & Location
- Address
- FIFTH AND WESTERN CALIFORNIA REHABILITATION CENTER DEPT OF CORRECTIONS STATE OF CALIFORNIA, NORCO, CA, 92860
- Phone
- (951) 737-2683
- Fax
- (951) 273-2974
Specialties & Taxonomies
Marriage & Family Therapist
License: CA #MFC 23813
Specialist
License: CA #25147
Psychologist, Clinical
Primary License: CA #PSY 16601
All Addresses
LOCATION
FIFTH AND WESTERN CALIFORNIA REHABILITATION CENTER DEPT OF CORRECTIONS STATE OF CALIFORNIA
NORCO, CA, 92860