Provider Demographics
NPI:1992506604
Name:AYDIID, SIHAM
Entity type:Individual
Prefix:
First Name:SIHAM
Middle Name:
Last Name:AYDIID
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 MOUNT ZION RD APT 309
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-4740
Mailing Address - Country:US
Mailing Address - Phone:513-600-8255
Mailing Address - Fax:
Practice Address - Street 1:7627 EWING BLVD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-1818
Practice Address - Country:US
Practice Address - Phone:502-706-1457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician