Amy Fayazrad & Associates, PC

NPI #1184147647 in Glenview, Illinois

Provider Information

NPI Number: 1184147647
Entity Type: Organization
Organization Name: Amy Fayazrad & Associates, PC
Primary Specialty: Psychologist
Enumeration Date: Jul 17, 2017
Last Updated: Jul 17, 2017

Practice Location

Address: 3633 W LAKE AVE STE 306
City: Glenview
State: Illinois
ZIP Code: 60026-5803
Phone: (760) 831-1191

Authorized Official

Name: DR. AMY FAYAZRAD FAYAZRAD
Title: PRESIDENT
Phone: (760) 831-1191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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