Provider Demographics
NPI:1962745158
Name:AL-ALEEM, ASYA I
Entity type:Individual
Prefix:MRS
First Name:ASYA
Middle Name:I
Last Name:AL-ALEEM
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:PO BOX 21134
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73156-1134
Mailing Address - Country:US
Mailing Address - Phone:405-602-8046
Mailing Address - Fax:
Practice Address - Street 1:1320 NE 47TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73111-5816
Practice Address - Country:US
Practice Address - Phone:405-602-8046
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-05
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional