Doctor Name: | MS. SOUSAN AYYAD |
NPI Number: | 1194165514 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., LPC |
License Number: | 178008598 |
Business Practice Address: | 7506 W 83rd Pl Bridgeview, IL - 604551703 |
Business Phone Number: | 7083696056 |
Business Fax Number: | |
Mailing Address: | 7506 W 83rd Place, BRIDGEVIEW |
State: | IL |
Postal Code: | 604551703 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/29/2013 |
NPI Last Update Date: | 09/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 178008598 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |