Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | ||
Y | 103T00000X | Psychologist | ||
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ||
N | 103G00000X | Clinical Psychologist | 04847 | MD |
N | 103TC0700X | Clinical Psychologist | 04847 | MD |
N | 103G00000X | Clinical Psychologist | PSY1000748 | DC |
N | 103TC0700X | Clinical Psychologist | PSY1000748 | DC |
N | 103TC1900X | Counseling Psychologist | ||
N | 103TF0000X | Family Psychologist | ||
N | 103TF0200X | Forensic Psychologist | ||
N | 103TP2701X | Group Psychotherapist | ||
N | 103TS0200X | School Psychologist |
NPI | 1053621680 |
---|---|
Provider Name | Shareefah Naimah Al'uqdah |
First Address | Washington, DC 20001-4029 |
Second Address | Washington, DC 20001-4029 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2010 |
Last Update Date | 24/06/2020 |