Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 545 | SD |
Y | 103TS0200X | School Psychologist | 545 | SD |
NPI | 1134674476 |
---|---|
Provider Name | Dr. Julia Alzoubaidi |
First Address | Sioux Falls, SD 57108-8170 |
Second Address | Sioux Falls, SD 57108-8170 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2016 |
Last Update Date | 16/08/2016 |