Provider Demographics
NPI:1508537929
Name:ALBANWAWE, SAJA A
Entity Type:Individual
Prefix:
First Name:SAJA
Middle Name:A
Last Name:ALBANWAWE
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 1:1824 NEST PL
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-6033
Mailing Address - Country:US
Mailing Address - Phone:972-595-2369
Mailing Address - Fax:
Practice Address - Street 1:1824 NEST PL
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-6033
Practice Address - Country:US
Practice Address - Phone:972-595-2369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-24
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling