Provider Demographics
NPI:1407134273
Name:SAEDI BOCCI, GOAL AUZEEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:GOAL AUZEEN
Middle Name:
Last Name:SAEDI BOCCI
Suffix:
Gender:F
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:PO BOX 14904
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85267-4904
Mailing Address - Country:US
Mailing Address - Phone:503-482-9560
Mailing Address - Fax:
Practice Address - Street 1:8175 E EVANS RD # 14904
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-3606
Practice Address - Country:US
Practice Address - Phone:503-482-9560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-28
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ005477103TC0700X
CA30930103TC0700X
OR2341103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical