Radpour-Wiley, Marzi Lisa

Radpour-Wiley, Marzi Lisa is an individual health care provider with primary practice located at 6401 Shallowford Rd , Chattanooga TN 37421-5406. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Radpour-Wiley, Marzi Lisa can be contacted via phone (423) 893-6500.

Contact Information

Primary practice address
6401 Shallowford Rd Chattanooga TN 37421-5406
Phone: (423) 893-6500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LSW03734 Tennessee
Behavioral Health & Social Service Providers / Clinical 103TC0700X P2532 Tennessee

Profile Details

NPI number 1427046200
LBN Legal business name Radpour-Wiley, Marzi Lisa
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Sep 14th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427046200 NPPES
Tennessee MEDICAID 3926524

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