Individual
SOFIE AZMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD/HSPP
Contact information
Practice address
5534 SAINT JOE RD, FORT WAYNE, IN 46835-3328
(219) 224-8855
Mailing address
5534 SAINT JOE RD, FORT WAYNE, IN 46835-3328
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071010772
IL
103TC0700X
Clinical Psychologist
Primary
20042936A
IN
Other
Enumeration date
10/20/2016
Last updated
11/07/2022
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