Michael Arie Chazan, PSYD Valid NPI
Individual provider · Psychologist · San Quentin, CA
- NPI
- 1740513878
- Type
- Individual (Type 1)
- Primary specialty
- Psychologist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103T00000X
- License number
- 30887 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2009-09-08
- Last updated
- 2023-09-06
Practice location
1 Main St
San Quentin, CA 94964-1000
(510) 541-9150