Provider Demographics
NPI:1891021879
Name:HASHMI, MISHELL (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MISHELL
Middle Name:
Last Name:HASHMI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3949 LINDELL BLVD APT 1027
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108-3277
Mailing Address - Country:US
Mailing Address - Phone:240-305-6035
Mailing Address - Fax:
Practice Address - Street 1:11457 OLDE CABIN RD
Practice Address - Street 2:SUITE 345
Practice Address - City:CREVE COEUR
Practice Address - State:MO
Practice Address - Zip Code:63141-7139
Practice Address - Country:US
Practice Address - Phone:240-305-6035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-26
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012037793103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical