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NPI Code Detail

MEDICARE: DR. BEHNAZ PAKIZEGI PH.D.

MEDICARE:  DR. BEHNAZ  PAKIZEGI  PH.D.
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
1103T00000XPsychologist3761NJ

General Provider Information

NPI Number : 1992802581
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BEHNAZ PAKIZEGI PH.D.
Provider Business Mailing Address
First Line : 51 UPPER MONTCLAIR PLZ
Second Line : SUITE 15
City : MONTCLAIR
State : NJ
Zip : 07043-1343
Country : US
Telephone Number : 973-454-3676
Fax Number : 206-600-6507
Provider Business Practice Location Address
First Line : 51 UPPER MONTCLAIR PLZ
Second Line : SUITE 15
City : MONTCLAIR
State : NJ
Zip : 07043-1343
Country : US
Telephone Number : 973-454-3676
Fax Number : 206-600-6507
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2006
Last Update Date : 07/08/2007

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Directions to “ DR. BEHNAZ PAKIZEGI PH.D.” Practice Location

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