Provider Demographics
NPI:1598353914
Name:HABIB, SAYEEDA CHOWDHURY (RDN/LDN)
Entity Type:Individual
Prefix:MRS
First Name:SAYEEDA
Middle Name:CHOWDHURY
Last Name:HABIB
Suffix:
Gender:F
Credentials:RDN/LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2897 GRETNA PL
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22181-5937
Mailing Address - Country:US
Mailing Address - Phone:703-459-3921
Mailing Address - Fax:
Practice Address - Street 1:2897 GRETNA PL
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22181-5937
Practice Address - Country:US
Practice Address - Phone:703-542-7490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-03
Last Update Date:2021-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA917922101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty