Individual
DR. ASAL AZIZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
216 E UPHAM ST, MARSHFIELD, WI 54449-1543
(715) 502-4642
Mailing address
216 E UPHAM ST, MARSHFIELD, WI 54449-1543
(715) 502-4642
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2978-57
WI
103TC0700X
Clinical Psychologist
PSY24063
CA
Other
Enumeration date
09/02/2011
Last updated
02/17/2012
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