Provider Demographics
NPI:1225714488
Name:FOULADI, NAZLI (PSYD)
Entity Type:Individual
Prefix:DR
First Name:NAZLI
Middle Name:
Last Name:FOULADI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13708 CANAL VISTA CT
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-1024
Mailing Address - Country:US
Mailing Address - Phone:301-806-2543
Mailing Address - Fax:
Practice Address - Street 1:13708 CANAL VISTA CT
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-1024
Practice Address - Country:US
Practice Address - Phone:301-806-2543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-23
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05033103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical