Provider Demographics
NPI:1205098878
Name:SIDDIQUE, HOORIE I (PHD)
Entity type:Individual
Prefix:DR
First Name:HOORIE
Middle Name:I
Last Name:SIDDIQUE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8605 CAMERON ST STE 214
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3728
Mailing Address - Country:US
Mailing Address - Phone:703-830-0965
Mailing Address - Fax:
Practice Address - Street 1:8605 CAMERON ST STE 214
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3728
Practice Address - Country:US
Practice Address - Phone:703-830-0965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD4264103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist