Provider Demographics
NPI:1780423376
Name:HASSAN, NABIYA Y
Entity type:Individual
Prefix:
First Name:NABIYA
Middle Name:Y
Last Name:HASSAN
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 1:2625 E FRANKLIN AVE STE LL4
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55406-1195
Mailing Address - Country:US
Mailing Address - Phone:612-715-6389
Mailing Address - Fax:
Practice Address - Street 1:5720 4TH ST NE
Practice Address - Street 2:
Practice Address - City:FRIDLEY
Practice Address - State:MN
Practice Address - Zip Code:55432-5595
Practice Address - Country:US
Practice Address - Phone:612-715-6389
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health