NPI 1134667751 · live from the CMS NPI Registry
Qutayba Abdullatif, Ph.D.
Psychologist, Clinical in Pasadena, CA. National Provider Identifier 1134667751, active.
NPI record
| NPI | 1134667751 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 2500 E Foothill Blvd Ste 406, Pasadena, CA 91107 |
| Practice phone | 626-460-1260 |
| Enumerated | February 2, 2017 |
| Last updated | January 4, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 28804 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.