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NPI Code Detail

MEDICARE: FATINAH ABUMAYALEH MFT

MEDICARE: FATINAH ABUMAYALEH MFT
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
1390200000XStudent in an Organized Health Care Education/Training Program90-0678865MN

General Provider Information

NPI Number : 1841132354
Entity Type Code : Individual
Provider Name (Legal Business Name) : FATINAH ABUMAYALEH MFT
Provider Business Mailing Address
First Line : 1435 WHITE OAK DR STE 200
Second Line :
City : CHASKA
State : MN
Zip : 55318-2567
Country : US
Telephone Number : 952-443-4600
Fax Number : 952-443-4604
Provider Business Practice Location Address
First Line : 1435 WHITE OAK DR STE 200
Second Line :
City : CHASKA
State : MN
Zip : 55318-2567
Country : US
Telephone Number : 952-443-4600
Fax Number : 952-443-4604
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ FATINAH ABUMAYALEH MFT” Practice Location

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