Provider Information for 1467703538
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Ms. SHAIMA MAMDOUH ELSEDOUDI LMHC
Sex: Female
NPI: 1467703538
Last Updated: 2022-05-31
Certification Date: 2022-05-31
Certification Date: 2022-05-31
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1467703538 | ||||||||
| Enumeration Date | 2012-09-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 6323 MEMORIAL HWY BUILDING A TAMPA, FL 33615-4509 United States Phone: 813-891-9474 | Fax: | ||||||||
| Primary Practice Address | 3848 FLATIRON LOOP UNIT 102 WESLEY CHAPEL, FL 33544-7825 United States Phone: 813-648-7220 | Fax: | ||||||||
| Secondary Practice Address(es) | 217 N LOIS AVE | ||||||||
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