Provider Demographics
NPI:1437660172
Name:MOHAMED, FATMA HAMID (MA)
Entity Type:Individual
Prefix:
First Name:FATMA
Middle Name:HAMID
Last Name:MOHAMED
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 1:2102 HOFFNAGLE ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-2409
Mailing Address - Country:US
Mailing Address - Phone:267-322-0108
Mailing Address - Fax:
Practice Address - Street 1:2102 HOFFNAGLE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-2409
Practice Address - Country:US
Practice Address - Phone:267-322-0108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-20
Last Update Date:2017-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health