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PUYA AHMADIEH-YAZDI

Individual Provider (NPI-1) Active

Psychologist, Clinical

Provider Information

NPI Number
1801530167
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
21250 STEVENS CREEK BLVD, CUPERTINO, CA, 950145797
Phone
(408) 864-5511

Specialties & Taxonomies

Psychologist, Clinical Primary License: CA #35090

All Addresses

MAILING

2010 EL CAMINO REAL PMB 3057

SANTA CLARA, CA, 95050

LOCATION

21250 STEVENS CREEK BLVD

CUPERTINO, CA, 950145797

(408) 864-5511