Active NPIIndividual providerSole proprietor

Dr. Tariq M Abdulaziz, PHD, LADC

Counselor, Addiction (Substance Use Disorder) in Waterbury, Connecticut

NPI Number1386180768
Practice location
91 Schraffts Dr, Waterbury, CT 06705-3271
Fax
860-831-1044
Last updated
March 13, 2017

Tariq M Abdulaziz is a Counselor, Addiction (Substance Use Disorder) based in Waterbury, CT. Tariq M Abdulaziz practices in Waterbury, CT and has the professional credentials of PHD, LADC. The NPI Number for Tariq M Abdulaziz is 1386180768 and holds a License No. 1227 (CT). The current practice location address for Tariq M Abdulaziz is 91 Schraffts Dr, Waterbury, CT 06705-3271 and can be reached out via phone at 860-377-0641 and via fax at 860-831-1044.

Provider Profile Details

NPI Number
1386180768
Provider Name
Tariq M Abdulaziz
Credential
PHD, LADC
Provider Entity Type
Individual
Gender
Male
Address
91 Schraffts Dr, Waterbury, CT 06705-3271
Phone Number
860-377-0641
Fax Number
860-831-1044
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
January 10, 2017
Last Update Date
March 13, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
91 Schraffts Dr
Waterbury, CT 06705-3271
Zip
06705-3271
Phone Number
860-377-0641
Fax Number
860-831-1044
Waterbury, CT 06705Get directions →

Provider Business Mailing Address Details

Address
Po Box 907
East Windsor, CT 06088-0907
City
East Windsor
State
CT
Zip
06088-0907
Phone Number
860-377-0641
Fax Number
860-831-1044

License Information

License Number
1227
License State
CT
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Tariq M Abdulaziz, PHD, LADC?

The NPI number of Dr. Tariq M Abdulaziz, PHD, LADC is 1386180768. It was assigned on January 10, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Tariq M Abdulaziz, PHD, LADC?

Dr. Tariq M Abdulaziz, PHD, LADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in CT under license number 1227.

Where does Dr. Tariq M Abdulaziz, PHD, LADC practice?

The practice location is 91 Schraffts Dr, Waterbury, CT 06705-3271. The office can be reached at 860-377-0641 (phone) or 860-831-1044 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386180768 directly on the NPPES registry website.

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