Provider Demographics
NPI:1871823286
Name:NOORMAND, NATASHA
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:NOORMAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4968 GARDEN GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-4316
Mailing Address - Country:US
Mailing Address - Phone:310-666-7660
Mailing Address - Fax:
Practice Address - Street 1:4968 GARDEN GROVE AVE
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-4316
Practice Address - Country:US
Practice Address - Phone:310-666-7660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-06
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA108562106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist