Provider Demographics
NPI:1750020434
Name:ALI, HUDA M
Entity Type:Individual
Prefix:
First Name:HUDA
Middle Name:M
Last Name:ALI
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 1:7121 FRANCE AVE S APT 504
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-4322
Mailing Address - Country:US
Mailing Address - Phone:313-695-9123
Mailing Address - Fax:
Practice Address - Street 1:7121 FRANCE AVE S APT 504
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-4322
Practice Address - Country:US
Practice Address - Phone:313-695-9123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-01
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health