Shafiezadeh, Behrooz

Shafiezadeh, Behrooz is an individual health care provider with primary practice located at 2101 Courage Dr , Fairfield CA 94533-6717. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Shafiezadeh, Behrooz can be contacted via phone (707) 784-2077.

Contact Information

Primary practice address
2101 Courage Dr Fairfield CA 94533-6717
Phone: (707) 784-2077
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 139343 California

Profile Details

NPI number 1639613409
LBN Legal business name Shafiezadeh, Behrooz
Credentials LMFT, APCC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2016
Last updated Jun 1st, 2023 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1639613409 NPPES
California Other C5252989 DRIVER LICENCE

Popular Providers