Moazam, Cyrus A

Moazam, Cyrus A is an sole proprietor health care provider with primary practice located at 9267 Greenback Ln B-98, Orangevale CA 95662-4863. He recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Cognitive & Behavioral is his primary health care specialty. Moazam, Cyrus A can be contacted via phone (916) 505-9151.

Contact Information

Primary practice address
9267 Greenback Ln B-98 Orangevale CA 95662-4863
Phone: (916) 505-9151
Fax: (916) 988-7864
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X PSY13748 California
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PSY13748 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY13748 California
Behavioral Health & Social Service Providers / Counseling 103TC1900X PSY13748 California
Behavioral Health & Social Service Providers / Forensic 103TF0200X PSY13748 California
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X PSY13748 California

Profile Details

NPI number 1558574814
LBN Legal business name Moazam, Cyrus A
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2007
Last updated Apr 20th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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