Provider Demographics
NPI:1407478316
Name:HASSAN, NEYAL (LPC)
Entity type:Individual
Prefix:
First Name:NEYAL
Middle Name:
Last Name:HASSAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16333 VANCE JACKSON APT 2343
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78257-5112
Mailing Address - Country:US
Mailing Address - Phone:210-589-8809
Mailing Address - Fax:
Practice Address - Street 1:1406 FITCH ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78211-1406
Practice Address - Country:US
Practice Address - Phone:210-922-6922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-13
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health