Individual
DR. PARISA MONTAZERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1602 SW 82ND ST, LAWTON, OK 73505-9012
(580) 536-0077
(580) 510-2725
Mailing address
1602 SW 82ND ST, LAWTON, OK 73505-9012
(580) 536-0077
(580) 510-2725
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
103TS0200X
School Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/08/2009
Last updated
11/11/2009
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