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NPI Code Detail

MEDICARE: MS. WALAA HMEIDA AMFT

MEDICARE: MS. WALAA HMEIDA AMFT
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
1106H00000XMarriage & Family Therapist14238543-3904UT

General Provider Information

NPI Number : 1396624326
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. WALAA HMEIDA AMFT
Provider Business Mailing Address
First Line : 870 E 9400 S STE 100
Second Line :
City : SANDY
State : UT
Zip : 84094-3677
Country : US
Telephone Number : 801-252-5036
Fax Number :
Provider Business Practice Location Address
First Line : 870 E 9400 S STE 100
Second Line :
City : SANDY
State : UT
Zip : 84094-3677
Country : US
Telephone Number : 801-252-5036
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2025
Last Update Date : 09/02/2025

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