Provider Demographics
NPI:1417792797
Name:BIGAZZI, SYLVIA (PSYCHOMETRIST)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:
Last Name:BIGAZZI
Suffix:
Gender:F
Credentials:PSYCHOMETRIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1985 SOURWOOD RD
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30071-3821
Mailing Address - Country:US
Mailing Address - Phone:404-784-4338
Mailing Address - Fax:
Practice Address - Street 1:1985 SOURWOOD RD
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30071-3821
Practice Address - Country:US
Practice Address - Phone:404-784-4338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2017-T756317251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health