Provider Demographics
NPI:1912732488
Name:KHASAWNEH, NADIA
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:KHASAWNEH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 BENNETT AVE APT 6N
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10040-2448
Mailing Address - Country:US
Mailing Address - Phone:720-207-7448
Mailing Address - Fax:
Practice Address - Street 1:225 BENNETT AVE APT 6N
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040-2448
Practice Address - Country:US
Practice Address - Phone:720-207-7448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health