Provider Demographics
NPI:1467707158
Name:HAAMID-SCOTT, HASEENA TASNEEM (CLD,CCCE)
Entity Type:Individual
Prefix:MRS
First Name:HASEENA
Middle Name:TASNEEM
Last Name:HAAMID-SCOTT
Suffix:
Gender:F
Credentials:CLD,CCCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1790 PINE FOREST DR.
Mailing Address - Street 2:
Mailing Address - City:COMMERCE TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48390-2221
Mailing Address - Country:US
Mailing Address - Phone:313-378-3982
Mailing Address - Fax:
Practice Address - Street 1:1790 PINE FOREST DR
Practice Address - Street 2:
Practice Address - City:COMMERCE TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48390-2221
Practice Address - Country:US
Practice Address - Phone:313-378-3982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-18
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula