Provider Demographics
NPI:1477442515
Name:DANIELLE TAILLIEU PSYCHOLOGY, PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:DANIELLE TAILLIEU PSYCHOLOGY, PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:TAILLIEU
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:323-749-9475
Mailing Address - Street 1:2934 1/2 N BEVERLY GLEN CIR # 12
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90077-1745
Mailing Address - Country:US
Mailing Address - Phone:323-749-9475
Mailing Address - Fax:
Practice Address - Street 1:15300 VENTURA BLVD STE 408
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-5848
Practice Address - Country:US
Practice Address - Phone:323-749-9475
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)