Michael Arie Chazan, PSYD

NPI #1740513878 in San Quentin, California

Provider Information

NPI Number: 1740513878
Entity Type: Individual
Name: Michael Arie Chazan, PSYD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PSYD
Enumeration Date: Sep 8, 2009
Last Updated: Sep 6, 2023

Practice Location

Address: 1 MAIN ST
City: San Quentin
State: California
ZIP Code: 94964-1000
Phone: (510) 541-9150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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