National Provider Identifier Database

FAZLOLLAH ALDAVOUD, PHD – NPI #1619170958
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

FAZLOLLAH ALDAVOUD, PHD
FIFTH AND WESTERN CALIFORNIA REHABILITATION CENTER
DEPT OF CORRECTIONS STATE OF CALIFORNIA
NORCO, CA92860
Phone: 951-737-2683
Fax: 951-273-2974
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X
Marriage & Family Therapist 106H00000X
Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for FAZLOLLAH ALDAVOUD

NPI Number 1619170958
Credentials PHD
Entity Individual
Enumeration date 06/06/2007
Last updated 07/25/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • CA License #: 25147
  • CA License #: MFC 23813
  • CA License #: PSY 16601
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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