Provider Demographics
NPI:1245892231
Name:SAAD, MARIAM NAYEF
Entity type:Individual
Prefix:
First Name:MARIAM
Middle Name:NAYEF
Last Name:SAAD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 E BELLOWS ST APT 5203
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-3882
Mailing Address - Country:US
Mailing Address - Phone:313-266-3883
Mailing Address - Fax:
Practice Address - Street 1:2520 UNIVERSITY PARK BLDG D
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-4464
Practice Address - Country:US
Practice Address - Phone:989-774-2529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-01
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician