MEDICARE: SADIQA CASH PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TM1800X	Intellectual & Developmental Disabilities Psychologist

General Provider Information

NPI Number	:	1053876060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SADIQA CASH PHD

Provider Business Mailing Address
First Line	:	6120 VILLAGE CENTER AVE APT 212
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-2596
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2730 S VAL VISTA DR BLDG 4
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85295-1675
Country	:	US
Telephone Number	:	480-608-4640
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2019
Last Update Date	:	03/11/2026

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