NPI | 1518003680 |
---|---|
Other Name | WALID A. JAZIRI, M.D. |
Entity Type | Organization |
Authorized Contact | WALID A. JAZIRI Medical Director 860-889-3052 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 101YP2500X Counselor, Professional |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
Enumeration Date | 2007-01-29 |
Last Update Date | 2025-09-11 |