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Contact Information

CYRUS A MOAZAM, PHD
9267 GREENBACK LN
B-98
ORANGEVALE, CA95662-4863
 Phone: 916-505-9151
 Fax: 916-988-7864
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Forensic

103TF0200X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CYRUS A MOAZAM · (Male)

NPI # 1558574814
Status Active
Credentials PHD
Entity Individual
Enumeration date 05/07/2007
Last updated 04/20/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # PSY13748
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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