Provider Demographics
NPI:1073714069
Name:MKRTCHYAN, ARMAN (MA)
Entity type:Individual
Prefix:MR
First Name:ARMAN
Middle Name:
Last Name:MKRTCHYAN
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 BERGEN BLVD APT 2
Mailing Address - Street 2:
Mailing Address - City:PALISADES PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07650-1949
Mailing Address - Country:US
Mailing Address - Phone:510-747-8714
Mailing Address - Fax:
Practice Address - Street 1:2711 ALCATRAZ AVE STE 4
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2726
Practice Address - Country:US
Practice Address - Phone:510-747-8714
Practice Address - Fax:908-926-2587
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2024-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist