Provider Demographics
NPI:1952116840
Name:OLHAYE, MAGAN RASHID
Entity type:Individual
Prefix:
First Name:MAGAN
Middle Name:RASHID
Last Name:OLHAYE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4749 HIAWATHA AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55406-3928
Mailing Address - Country:US
Mailing Address - Phone:651-447-3671
Mailing Address - Fax:
Practice Address - Street 1:4749 HIAWATHA AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55406-3928
Practice Address - Country:US
Practice Address - Phone:651-447-3671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician