Individual
NYAZ DIDEHBANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5323 HARRY HINES BOULEVARD, DALLAS, TX 75390
(214) 509-0433
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(214) 509-0433
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
35018
TX
Other
Enumeration date
12/05/2007
Last updated
05/31/2018
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