Individual
SARAH YASSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCH D
Contact information
Practice address
6677 W THUNDERBIRD RD STE D148, GLENDALE, AZ 85306-3769
(602) 843-3811
(602) 843-0044
Mailing address
6677 W THUNDERBIRD RD STE D148, GLENDALE, AZ 85306-3769
(602) 843-3811
(602) 843-0044
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY-005225
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY-005225
STATE LICENSE
AZ
Enumeration date
09/15/2020
Last updated
09/15/2020
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