Provider Demographics
NPI:1629106943
Name:NAZEMPOOR, AL A (PHD)
Entity Type:Individual
Prefix:DR
First Name:AL
Middle Name:A
Last Name:NAZEMPOOR
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 1:12820 HILLCREST RD
Mailing Address - Street 2:SUITE #C-107
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-1526
Mailing Address - Country:US
Mailing Address - Phone:214-727-7717
Mailing Address - Fax:972-233-5568
Practice Address - Street 1:12820 HILLCREST RD
Practice Address - Street 2:SUITE #C-107
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-1526
Practice Address - Country:US
Practice Address - Phone:214-727-7717
Practice Address - Fax:972-233-5568
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLPC11425101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional