Provider Demographics
NPI:1023027075
Name:ABBASSI, AMIR (PHD)
Entity Type:Individual
Prefix:DR
First Name:AMIR
Middle Name:
Last Name:ABBASSI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4817 MEDICAL CENTER DR
Mailing Address - Street 2:UNIT 3A
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-1886
Mailing Address - Country:US
Mailing Address - Phone:972-607-9650
Mailing Address - Fax:469-209-4388
Practice Address - Street 1:4817 MEDICAL CENTER DR
Practice Address - Street 2:UNIT 3A
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-1886
Practice Address - Country:US
Practice Address - Phone:972-607-9650
Practice Address - Fax:469-209-4388
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX004752-041843106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist