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Dr. Edden Agonafer, PSYD
Clinical Psychologist in Altadena, California
NPI 1598116139

Edden Agonafer is a Clinical Psychologist based in Altadena, CA and is specialized in Clinical. Edden Agonafer practices in Altadena, CA and has the professional credentials of PSYD. The NPI Number for Edden Agonafer is 1598116139 and holds a License No. (California).

The current practice location address for Edden Agonafer is 3855 Lilac Canyon Ln, Altadena, CA and can be reached out via phone at 254-214-9431.

Location: 3855 Lilac Canyon Ln, Altadena, CA, 91001-3870
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598116139
Provider Name
Edden Agonafer
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
3855 Lilac Canyon Ln, Altadena, CA, 91001-3870
Phone Number
254-214-9431
Fax Number
Provider Enumeration Date
06/24/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3855 Lilac Canyon Ln
City
Altadena
State
California
Zip
91001-3870
Phone Number
254-214-9431
Fax Number
person
Provider Business Mailing Address Details
Address
3855 Lilac Canyon Ln
City
Altadena
State
California
Zip
91001-3870
Phone Number
254-214-9431
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
31122 (California)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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