Individual
DR. LISA YAZDANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2108 CROSSBRIDGE BLVD, BYRAM, MS 39272-8716
(601) 372-5374
(607) 372-7582
Mailing address
2108 CROSSBRIDGE BLVD, BYRAM, MS 39272-8716
(601) 372-5374
(607) 372-7582
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33539
MS
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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