Provider Demographics
NPI:1255835591
Name:MUHAMMAD, DAYESHELL (MA)
Entity Type:Individual
Prefix:
First Name:DAYESHELL
Middle Name:
Last Name:MUHAMMAD
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 GILLETT ST
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-2630
Mailing Address - Country:US
Mailing Address - Phone:860-656-0450
Mailing Address - Fax:860-656-0491
Practice Address - Street 1:111 GILLETT ST
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-2630
Practice Address - Country:US
Practice Address - Phone:860-656-0450
Practice Address - Fax:860-656-0491
Is Sole Proprietor?:No
Enumeration Date:2018-03-21
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No172V00000XOther Service ProvidersCommunity Health Worker