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NPI Code Detail

MEDICARE: MR. AMIR NASEER AHMED PSY.D, M.S.

MEDICARE:  MR. AMIR NASEER AHMED  PSY.D, M.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist0005992CO
2390200000XStudent in an Organized Health Care Education/Training ProgramCA
3103T00000XPsychologist34071CA

General Provider Information

NPI Number : 1851874325
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. AMIR NASEER AHMED PSY.D, M.S.
Provider Business Mailing Address
First Line : 3301 E 12TH ST
Second Line :
City : OAKLAND
State : CA
Zip : 94601-3424
Country : US
Telephone Number : 510-269-9030
Fax Number : 510-210-9310
Provider Business Practice Location Address
First Line : 1210 S PARKER RD STE 210
Second Line :
City : DENVER
State : CO
Zip : 80231-2163
Country : US
Telephone Number : 303-883-0604
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2018
Last Update Date : 03/13/2023

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