Individual provider · NPI-1

Dr. Syidah Abdullah, LPC-MHSP

Counselor · Memphis, TN

NPI number1093310161
StatusActive
Last updated in NPPESDec 4, 2020

Details

NPI
1093310161
Entity type
Individual (NPI-1)
Name
Dr. Syidah Abdullah
Credential
LPC-MHSP
Sex
Female
Sole proprietor
No
Enumeration date
Dec 4, 2020
Certification date
Dec 3, 2020
Last updated
Dec 4, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor4731TNYes

Practice location

1314 Peabody Ave
Memphis, TN 38104-3500

Phone 901-321-5803

Mailing address

1353 Carr Ave
Memphis, TN 38104-4864

Phone 765-430-5068

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