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Golzar Kouklan, BS
Clinical Psychologist in Long Beach, California
NPI 1649544289

Golzar Kouklan is a Clinical Psychologist based in Milwaukee, CA and is specialized in Clinical. Golzar Kouklan practices in Long Beach, CA and has the professional credentials of BS. The NPI Number for Golzar Kouklan is 1649544289 and holds a License No. (California).

The current practice location address for Golzar Kouklan is 434 E 4Th St, Long Beach, CA and can be reached out via phone at 630-715-2520.

Location: 434 E 4Th St, Long Beach, CA, 53233-1308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649544289
Provider Name
Golzar Kouklan
Credential
BS
Provider Entity Type
Individual
Gender
Female
Address
434 E 4Th St, Long Beach, CA, 53233-1308
Phone Number
630-715-2520
Fax Number
Provider Enumeration Date
02/29/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
434 E 4Th St
City
Long Beach
State
California
Zip
90802-2405
Phone Number
630-715-2520
Fax Number
person
Provider Business Mailing Address Details
Address
434 E 4Th St
City
Long Beach
State
California
Zip
90802-2405
Phone Number
630-715-2520
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
30945 (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.
(Wisconsin)
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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