| Doctor Name: | MR. AHMED M HASSAN |
| NPI Number: | 1104153881 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 41-2004518 |
| Business Practice Address: | 6701 Penn Ave S Ste 301 Richfield, MN - 554232085 |
| Business Phone Number: | 6512760607 |
| Business Fax Number: | |
| Mailing Address: | Po Box 4053, SAINT PAUL |
| State: | MN |
| Postal Code: | 551040053 |
| Phone Number: | 6512760607 |
| Fax Number: | |
| NPI Enumeration Date: | 11/17/2009 |
| NPI Last Update Date: | 11/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 41-2004518 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |