Individual
SANDRA T. AZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
PENNSYLVANIA STATE UNIVERSITY PSYCHOLOGY DEPT., MOORE BUILDING OFFICE 360, UNIVERSITY PARK, PA 16802
(814) 863-6019
Mailing address
147 CLAIR LN, STATE COLLEGE, PA 16801-8414
(814) 863-6019
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4380
MA
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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