Active NPIIndividual providerSole proprietor

Dr. Qutayba Abdullatif, PHD

Psychologist, Clinical in Pasadena, California

NPI Number1134667751
Practice location
2500 E Foothill Blvd Ste 406, Pasadena, CA 91107-7122
Fax
626-628-3051
Last updated
January 4, 2022

Qutayba Abdullatif is a Psychologist, Clinical based in Pasadena, CA. Qutayba Abdullatif practices in Pasadena, CA and has the professional credentials of PHD. The NPI Number for Qutayba Abdullatif is 1134667751 and holds a License No. 28804 (CA). The current practice location address for Qutayba Abdullatif is 2500 E Foothill Blvd Ste 406, Pasadena, CA 91107-7122 and can be reached out via phone at 626-460-1260 and via fax at 626-628-3051.

Provider Profile Details

NPI Number
1134667751
Provider Name
Qutayba Abdullatif
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
2500 E Foothill Blvd Ste 406, Pasadena, CA 91107-7122
Phone Number
626-460-1260
Fax Number
626-628-3051
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 2, 2017
Last Update Date
January 4, 2022
Certification Date
January 4, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
2500 E Foothill Blvd Ste 406
Pasadena, CA 91107-7122
Zip
91107-7122
Phone Number
626-460-1260
Fax Number
626-628-3051
Pasadena, CA 91107Get directions →

Provider Business Mailing Address Details

Address
2500 E Foothill Blvd Ste 406
Pasadena, CA 91107-7122
City
Pasadena
State
CA
Zip
91107-7122
Phone Number
626-460-1260
Fax Number
626-628-3051

License Information

License Number
28804
License State
CA
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Qutayba Abdullatif, PHD?

The NPI number of Dr. Qutayba Abdullatif, PHD is 1134667751. It was assigned on February 2, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Qutayba Abdullatif, PHD?

Dr. Qutayba Abdullatif, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CA under license number 28804.

Where does Dr. Qutayba Abdullatif, PHD practice?

The practice location is 2500 E Foothill Blvd Ste 406, Pasadena, CA 91107-7122. The office can be reached at 626-460-1260 (phone) or 626-628-3051 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134667751 directly on the NPPES registry website.

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