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Individual
MARY M. MAZAHERI
Active
Individual
MARY M. MAZAHERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
24102
CA
103TC0700X
Clinical Psychologist
Primary
24102
CA
Other
Enumeration date
02/06/2012
Last updated
10/12/2018
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