Basic Information
| Provider Information | |||||||||
| NPI: | 1679770895 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NAZIR | ||||||||
| FirstName: | UZMA | ||||||||
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| Credential: | PSWA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1305 TOMMYDON ST | ||||||||
| Address2: | |||||||||
| City: | STOCKTON | ||||||||
| State: | CA | ||||||||
| PostalCode: | 952103364 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2094762015 | ||||||||
| FaxNumber: | 2094763528 | ||||||||
| Practice Location | |||||||||
| Address1: | 1305 TOMMYDON ST | ||||||||
| Address2: | |||||||||
| City: | STOCKTON | ||||||||
| State: | CA | ||||||||
| PostalCode: | 952103364 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2094765751 | ||||||||
| FaxNumber: | 2094763528 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/29/2007 | ||||||||
| LastUpdateDate: | 07/12/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | ASW19316 | CA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.