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Individual
DR. ISAAC ALI MIRZADEGAN
Active
Individual
DR. ISAAC ALI MIRZADEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
36078
CA
103TF0000X
Family Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
Other
Enumeration date
05/06/2024
Last updated
08/26/2025
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