Individual
DR. PARI BEYZAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D, L.M.F.T
Contact information
Practice address
4205 LANCASTER LN N STE 102, PLYMOUTH, MN 55441-1702
(763) 551-1850
(763) 551-1851
Mailing address
4205 LANCASTER LN N STE 102, PLYMOUTH, MN 55441-1702
(763) 551-1850
(763) 551-1851
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
881
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6607504
MN ID NUMBER
MN
01
—
709660700
MA PROVIDER NUMBER
MN
Enumeration date
12/18/2006
Last updated
06/04/2012
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