Provider Demographics
NPI:1942084280
Name:HIDIG, SABARIIN A
Entity Type:Individual
Prefix:
First Name:SABARIIN
Middle Name:A
Last Name:HIDIG
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 1:3041 PILLSBURY AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-3184
Mailing Address - Country:US
Mailing Address - Phone:612-532-0888
Mailing Address - Fax:
Practice Address - Street 1:3041 PILLSBURY AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-3184
Practice Address - Country:US
Practice Address - Phone:612-532-0888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool