Provider Demographics
NPI:1124352067
Name:XHIHANI, ANDI (PHD)
Entity type:Individual
Prefix:DR
First Name:ANDI
Middle Name:
Last Name:XHIHANI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 WALNUT ST STE 1340
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-3513
Mailing Address - Country:US
Mailing Address - Phone:484-301-0098
Mailing Address - Fax:
Practice Address - Street 1:1500 WALNUT ST STE 1340
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-3513
Practice Address - Country:US
Practice Address - Phone:484-301-0098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-24
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS018854103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist