Provider Demographics
NPI:1962783878
Name:NAEEM, HALIM KHIDHIR (PH D)
Entity type:Individual
Prefix:DR
First Name:HALIM
Middle Name:KHIDHIR
Last Name:NAEEM
Suffix:
Gender:M
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8050 W PARKWAY ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48239-1154
Mailing Address - Country:US
Mailing Address - Phone:734-657-3183
Mailing Address - Fax:866-230-3656
Practice Address - Street 1:39293 PLYMOUTH RD STE 118
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-1060
Practice Address - Country:US
Practice Address - Phone:734-657-3183
Practice Address - Fax:866-225-0850
Is Sole Proprietor?:No
Enumeration Date:2011-09-06
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301015419103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling