Provider Demographics
NPI:1104266386
Name:ALJOUDI, HAYA (PSYD)
Entity type:Individual
Prefix:DR
First Name:HAYA
Middle Name:
Last Name:ALJOUDI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:HAYA
Other - Middle Name:
Other - Last Name:AL-JOUDI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:325 DARTMOUTH AVE
Mailing Address - Street 2:APT G1
Mailing Address - City:SWARTHMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19081-1538
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:325 DARTMOUTH AVE
Practice Address - Street 2:APT G1
Practice Address - City:SWARTHMORE
Practice Address - State:PA
Practice Address - Zip Code:19081-1538
Practice Address - Country:US
Practice Address - Phone:410-502-6352
Practice Address - Fax:703-573-2595
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-02
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist