Provider Demographics
NPI:1083168470
Name:HASHIMI, SAYEDA
Entity Type:Individual
Prefix:
First Name:SAYEDA
Middle Name:
Last Name:HASHIMI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:891 ENGLEWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:LATHROP
Mailing Address - State:CA
Mailing Address - Zip Code:95330-8919
Mailing Address - Country:US
Mailing Address - Phone:209-481-7511
Mailing Address - Fax:
Practice Address - Street 1:891 ENGLEWOOD WAY
Practice Address - Street 2:
Practice Address - City:LATHROP
Practice Address - State:CA
Practice Address - Zip Code:95330-8919
Practice Address - Country:US
Practice Address - Phone:209-481-7511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-15
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor