Individual provider · NPI-1

Azad Abbasi, M.S.

Psychologist · Detroit, MI

NPI number1043632862
StatusActive
Last updated in NPPESJan 14, 2014

Details

NPI
1043632862
Entity type
Individual (NPI-1)
Name
Mr. Azad Abbasi
Credential
M.S.
Sex
Male
Sole proprietor
No
Enumeration date
Jan 14, 2014
Last updated
Jan 14, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist6301015526MIYes

Practice location

17321 Telegraph Rd
Detroit, MI 48219-3132

Phone 313-255-0900

Mailing address

17321 Telegraph Rd
Detroit, MI 48219-3132

Phone 313-255-0900

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