Individual
MR. AZAD ABBASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
17321 TELEGRAPH RD, DETROIT, MI 48219-3132
(313) 255-0900
Mailing address
17321 TELEGRAPH RD, DETROIT, MI 48219-3132
(313) 255-0900
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301015526
MI
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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