Provider Demographics
NPI:1467836189
Name:HASHEMI, HODA
Entity Type:Individual
Prefix:
First Name:HODA
Middle Name:
Last Name:HASHEMI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3369 LAKE AUSTIN BLVD
Mailing Address - Street 2:APT D
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703-5540
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3369 LAKE AUSTIN BLVD
Practice Address - Street 2:APT D
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78703-5540
Practice Address - Country:US
Practice Address - Phone:512-983-5442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-13
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst