Provider Demographics
NPI:1275300758
Name:ALSUWAYHAN, FAHAD ABDULLAH (MS, MA)
Entity Type:Individual
Prefix:MR
First Name:FAHAD
Middle Name:ABDULLAH
Last Name:ALSUWAYHAN
Suffix:
Gender:M
Credentials:MS, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 BARTON RD APT 1506
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-1401
Mailing Address - Country:US
Mailing Address - Phone:708-262-2014
Mailing Address - Fax:
Practice Address - Street 1:1400 BARTON RD APT 1506
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-1401
Practice Address - Country:US
Practice Address - Phone:708-262-2014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist