Organization
DR. SHIRIN M. BAZAZ, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIRIN M BAZAZ PSY.D. (PRESIDENT)
(512) 636-1704
Entity
Organization
Contact information
Practice address
1600 W 38TH ST, SUITE 420, AUSTIN, TX 78731-6400
(512) 636-1704
(512) 374-4901
Mailing address
1600 W 38TH ST, SUITE 420, AUSTIN, TX 78731-6400
(512) 636-1704
(512) 374-4901
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33557
TX
Other
Enumeration date
09/20/2009
Last updated
09/20/2009
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