Provider Demographics
NPI:1053137356
Name:ALAN J. GOLIAN, PSY.D., CHILD PSYCHOLOGY SERVICES, INC.
Entity type:Organization
Organization Name:ALAN J. GOLIAN, PSY.D., CHILD PSYCHOLOGY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:GOLIAN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:310-487-4690
Mailing Address - Street 1:20750 VENTURA BLVD STE 415
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-6205
Mailing Address - Country:US
Mailing Address - Phone:310-487-4690
Mailing Address - Fax:661-426-2952
Practice Address - Street 1:20750 VENTURA BLVD STE 415
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-6205
Practice Address - Country:US
Practice Address - Phone:310-487-4690
Practice Address - Fax:661-426-2952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental DisabilitiesGroup - Multi-Specialty