Doctor Name: | ALFRED KASZNIAK |
NPI Number: | 1629177902 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 0843 |
Business Practice Address: | 1501 N Campbell Ave Tucson, AZ - 857240001 |
Business Phone Number: | 5206266254 |
Business Fax Number: | 5206262004 |
Mailing Address: | 575 E River Rd, TUCSON |
State: | AZ |
Postal Code: | 857045822 |
Phone Number: | 5208747400 |
Fax Number: | 5208743425 |
NPI Enumeration Date: | 09/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 0843 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |