Individual
RICHARD L AZRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
4260 CAHABA HEIGHTS CT, STE 180, VESTAVIA, AL 35243-5711
(053) 297-8152
(205) 329-7816
Mailing address
4260 CAHABA HEIGHTS CT, STE 180, VESTAVIA, AL 35243-5711
(053) 297-8152
(205) 329-7816
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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