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NPI Code Detail

MEDICARE: AYAH IFTEIHA LPA

MEDICARE: AYAH IFTEIHA LPA
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
1103TC0700XClinical Psychologist40587TX

General Provider Information

NPI Number : 1437948353
Entity Type Code : Individual
Provider Name (Legal Business Name) : AYAH IFTEIHA LPA
Provider Business Mailing Address
First Line : 400 MILFORD
Second Line :
City : WYLIE
State : TX
Zip : 75098-0507
Country : US
Telephone Number : 214-718-6368
Fax Number :
Provider Business Practice Location Address
First Line : 6303 COMMERCE DR STE 175
Second Line :
City : IRVING
State : TX
Zip : 75063-2691
Country : US
Telephone Number : 214-940-9089
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2025
Last Update Date : 05/06/2025

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Directions to “ AYAH IFTEIHA LPA” Practice Location

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