Provider Demographics
NPI:1619601648
Name:OLOW, SAADIA
Entity Type:Individual
Prefix:
First Name:SAADIA
Middle Name:
Last Name:OLOW
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 1:2115 PORTLAND AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-2660
Mailing Address - Country:US
Mailing Address - Phone:763-606-2136
Mailing Address - Fax:
Practice Address - Street 1:2115 PORTLAND AVE APT 2
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-2660
Practice Address - Country:US
Practice Address - Phone:763-606-2136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty