| 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 | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |