Healthcare Provider Details

I. General information

NPI: 1346808060
Provider Name (Legal Business Name): SAADIA HAMEED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2019
Last Update Date: 05/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4711 CAMPBELL AVE
SAN JOSE CA
95130-1790
US

IV. Provider business mailing address

4711 CAMPBELL AVE
SAN JOSE CA
95130-1790
US

V. Phone/Fax

Practice location:
  • Phone: 408-874-3323
  • Fax:
Mailing address:
  • Phone: 408-874-3323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number3739
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: