Individual
RICHARD L AZRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH. D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
819
AL
103TC0700X
Clinical Psychologist
819
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051501026
BLUE CROSS
AL
01
—
051503120
FEDERAL BLUE CROSS
AL
01
—
US DEPART. OF LABOR
362466400
AL
Enumeration date
10/12/2006
Last updated
05/09/2019
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