Healthcare Provider Details

I. General information

NPI: 1134565401
Provider Name (Legal Business Name): RASHIDA HELENA HEWLETT M.ED.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2013
Last Update Date: 05/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2341 CROSS ST
PHILADELPHIA PA
19146-4102
US

IV. Provider business mailing address

2341 CROSS ST
PHILADELPHIA PA
19146-4102
US

V. Phone/Fax

Practice location:
  • Phone: 267-288-7924
  • Fax: 267-639-9649
Mailing address:
  • Phone: 267-288-7924
  • Fax: 267-639-9649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: