Provider Demographics
NPI:1639628258
Name:AHMED, NIEMAT A (MS)
Entity Type:Individual
Prefix:MS
First Name:NIEMAT
Middle Name:A
Last Name:AHMED
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:NIEMAT
Other - Middle Name:A
Other - Last Name:AHMED
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:6841 KINDRED ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19149-2220
Mailing Address - Country:US
Mailing Address - Phone:267-250-9446
Mailing Address - Fax:
Practice Address - Street 1:6841 KINDRED STREET
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19149-2220
Practice Address - Country:US
Practice Address - Phone:267-250-9446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-23
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABEHAVIORAL HEALTH &101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor