Individual
ALEX AZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
11440 N KENDALL DR, STE 208, MIAMI, FL 33176-1024
(888) 852-6672
(305) 891-4228
Mailing address
1065 NE 125TH ST, SUITE 409, NORTH MIAMI, FL 33161-5821
(888) 852-6672
(305) 891-4228
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY4586
FL
103TC0700X
Clinical Psychologist
Primary
PY4586
FL
103TC1900X
Counseling Psychologist
PY4586
FL
Other
Enumeration date
10/10/2005
Last updated
08/19/2014
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