Provider Demographics
NPI:1659927994
Name:GHRJYAN, YEVA (PSYD)
Entity type:Individual
Prefix:DR
First Name:YEVA
Middle Name:
Last Name:GHRJYAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9756 ORCAS AVE
Mailing Address - Street 2:
Mailing Address - City:SUNLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91040-1332
Mailing Address - Country:US
Mailing Address - Phone:818-599-5994
Mailing Address - Fax:
Practice Address - Street 1:11022 SANTA MONICA BLVD STE 270
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-7566
Practice Address - Country:US
Practice Address - Phone:323-545-6616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-13
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY35628103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical