Mohammed, Anisa Sophia

Mohammed, Anisa Sophia is an individual health care provider with primary practice located at 200 4Th Ave W #300, Shakopee MN 55379-1220. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mohammed, Anisa Sophia can be contacted via phone (952) 496-8614.

Contact Information

Primary practice address
200 4Th Ave W #300 Shakopee MN 55379-1220
Phone: (952) 496-8614
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP5667 Minnesota

Profile Details

NPI number 1215364625
LBN Legal business name Mohammed, Anisa Sophia
Credentials PSYD, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2013
Last updated Sep 30th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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