Provider Demographics
NPI:1639778756
Name:MASHAL, REEM
Entity Type:Individual
Prefix:
First Name:REEM
Middle Name:
Last Name:MASHAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:REEM
Other - Middle Name:
Other - Last Name:ABDELLATIF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8183 SILVERLEAF WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95829-1725
Mailing Address - Country:US
Mailing Address - Phone:916-690-7531
Mailing Address - Fax:
Practice Address - Street 1:8183 SILVERLEAF WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95829-1725
Practice Address - Country:US
Practice Address - Phone:916-690-7531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst