Provider Demographics
NPI:1790965739
Name:ELAMIN, ABDELHADI ABDELHAMID (MSEDNCCLPC)
Entity Type:Individual
Prefix:
First Name:ABDELHADI
Middle Name:ABDELHAMID
Last Name:ELAMIN
Suffix:
Gender:M
Credentials:MSEDNCCLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 BAUM BLVD STE 791
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-1856
Mailing Address - Country:US
Mailing Address - Phone:412-310-5639
Mailing Address - Fax:
Practice Address - Street 1:5001 BAUM BLVD STE 791
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-1856
Practice Address - Country:US
Practice Address - Phone:412-310-5639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-07
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002336101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor