| Nicole Lazorwitz Psyd Llc | |
|
3507 N Central Ave Ste 101 Phoenix AZ 85012-2121 | |
| (520) 428-4528 | |
| Not Available |
| Full Name | Nicole Lazorwitz Psyd Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3507 N Central Ave Ste 101, Phoenix, Arizona |
| Authorized Official Name and Position | Nicole Lazorwitz (OWNER) |
| Authorized Official Contact | 5204284528 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Lazorwitz Psyd Llc 3507 N Central Ave Ste 101 Phoenix AZ 85012-2121 Ph: (520) 428-4528 | Nicole Lazorwitz Psyd Llc 3507 N Central Ave Ste 101 Phoenix AZ 85012-2121 Ph: (520) 428-4528 |
| NPI Number | 1184212607 |
|---|---|
| Provider Enumeration Date | 01/10/2021 |
| Last Update Date | 01/10/2021 |
| Certification Date | 01/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184212607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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