Provider Demographics
NPI:1497343313
Name:ALHASSAN, HALIMATU
Entity Type:Individual
Prefix:DR
First Name:HALIMATU
Middle Name:
Last Name:ALHASSAN
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 1:2300 LAGUNA CT UNIT 205
Mailing Address - Street 2:
Mailing Address - City:FAIRBORN
Mailing Address - State:OH
Mailing Address - Zip Code:45324-1177
Mailing Address - Country:US
Mailing Address - Phone:937-503-7466
Mailing Address - Fax:
Practice Address - Street 1:7174 TALISMAN LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-4824
Practice Address - Country:US
Practice Address - Phone:240-274-1722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool