Provider Demographics
NPI:1679603914
Name:CHAUDHRY, SHAHZAD K (MFT)
Entity type:Individual
Prefix:MR
First Name:SHAHZAD
Middle Name:K
Last Name:CHAUDHRY
Suffix:
Gender:M
Credentials:MFT
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 10748
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93389-0748
Mailing Address - Country:US
Mailing Address - Phone:661-431-1555
Mailing Address - Fax:661-471-2410
Practice Address - Street 1:8307 BRIMHALL ROAD
Practice Address - Street 2:SUITE 1706
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312
Practice Address - Country:US
Practice Address - Phone:661-431-1555
Practice Address - Fax:661-471-2410
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC42738106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist