Provider Demographics
NPI:1811619554
Name:ALI, HAANA (PSYD)
Entity type:Individual
Prefix:DR
First Name:HAANA
Middle Name:
Last Name:ALI
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 1:2101 BRICKELL AVE APT 2303
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33129-2124
Mailing Address - Country:US
Mailing Address - Phone:305-299-0917
Mailing Address - Fax:
Practice Address - Street 1:7700 N KENDALL DR STE 302
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7559
Practice Address - Country:US
Practice Address - Phone:305-299-0917
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL46-3910920OtherPSYCHOLOGY RESIDENT