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Individual

DR. AREZOO KHANZADEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
3516 PLANK RD, SUITE 6C, FREDERICKSBURG, VA 22407-6861
(540) 388-2891
(540) 412-0223
Mailing address
3516 PLANK RD, SUITE 6C, FREDERICKSBURG, VA 22407-6861
(540) 388-2891
(540) 412-0223

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005056
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0810005056
LICENSED CLINICAL PSYCHOLOGIST
VA
Enumeration date
08/25/2014
Last updated
05/05/2016
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