Individual provider · Type 1 NPI

Ladan Boustani

Clinical Psychologist · Newport Beach, CA

NPI number 1174098974 Active

Practice location

4685 Macarthur Ct Ste 340
Newport Beach, CA 92660-1855

Mailing address

12 Magnolia Dr
Ladera Ranch, CA 92694-0711

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X27962 (CA)

Clinical Psychologist: 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 discip…

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About NPI 1174098974

Ladan Boustani's National Provider Identifier is 1174098974, issued on Oct 8, 2018. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Newport Beach, CA. The record was last updated on Oct 8, 2018.