Organization
LEGACY ASSESSMENT GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JAFARZADEH PSYD (OWNER)
(214) 760-1964
Entity
Organization
Contact information
Practice address
1341 W MOCKINGBIRD LN STE 760, DALLAS, TX 75247-6913
(214) 760-1964
(214) 760-9505
Mailing address
1341 W MOCKINGBIRD LN STE 760, DALLAS, TX 75247-6913
(214) 760-1964
(214) 760-9505
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
24635
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309543201
—
TX
Enumeration date
03/07/2012
Last updated
08/13/2024
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