Provider Demographics
NPI:1568698595
Name:WARDI, HASSAN MOHAMED (MS/MA)
Entity Type:Individual
Prefix:
First Name:HASSAN
Middle Name:MOHAMED
Last Name:WARDI
Suffix:
Gender:M
Credentials:MS/MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 SOUTHWARK CT
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:18966-2550
Mailing Address - Country:US
Mailing Address - Phone:267-432-5521
Mailing Address - Fax:
Practice Address - Street 1:2288 2ND STREET PIKE
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-4108
Practice Address - Country:US
Practice Address - Phone:215-598-0223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-04
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor