Provider Demographics
NPI:1376263525
Name:MOINUDDIN, HIBA FATIMA (MA, LPC)
Entity Type:Individual
Prefix:
First Name:HIBA
Middle Name:FATIMA
Last Name:MOINUDDIN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:MS
Other - First Name:HIBA
Other - Middle Name:FATIMA
Other - Last Name:MOINUDDIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:8S223 DERBY DRIVE
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540
Mailing Address - Country:US
Mailing Address - Phone:630-699-6536
Mailing Address - Fax:
Practice Address - Street 1:2548 W DIVISION ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-2806
Practice Address - Country:US
Practice Address - Phone:773-270-3795
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-29
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health