Provider Demographics
NPI:1285457028
Name:TAYAB, HABIBA (MSW)
Entity type:Individual
Prefix:
First Name:HABIBA
Middle Name:
Last Name:TAYAB
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:UMME-HABIBA
Other - Middle Name:
Other - Last Name:TAYAB
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:4962 SW 173RD AVE
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33029-5092
Mailing Address - Country:US
Mailing Address - Phone:734-652-2341
Mailing Address - Fax:
Practice Address - Street 1:4962 SW 173RD AVE
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33029-5092
Practice Address - Country:US
Practice Address - Phone:734-652-2341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty