Moradzadeh, Dara

Moradzadeh, Dara is an sole proprietor health care provider with primary practice located at 1425 Broadway Ste 2 , Burlingame CA 94010-3434. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Moradzadeh, Dara can be contacted via phone (650) 503-3636.

Contact Information

Primary practice address
1425 Broadway Ste 2 Burlingame CA 94010-3434
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY 24742 California

Profile Details

NPI number 1275888364
LBN Legal business name Moradzadeh, Dara
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2012
Last updated Feb 3rd, 2022 - about 3 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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