Most Relevant Information
Provider Data
| NPI Number: | 1003369646 |
| Provider Name: | MAHSA MIRAZIMY PSY.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 071009339 |
Most Important Dates
| Enumeration Date: | 08/01/2016 |
| Last Updated: | 01/25/2021 |
Provider Practice Location
333 N MICHIGAN AVE STE 1530
CHICAGO
IL
606014000
Practice Location Phone/Fax
| Phone: | 8476091475 |
| Fax: |
Provider Mailing Location
333 N MICHIGAN AVE STE 1530
CHICAGO
IL
606014000
Provider Mailing Phone/Fax
| Phone: | 8476091475 |
| Fax: |