Provider Demographics
NPI:1730917154
Name:HABEHH, FATIMA
Entity type:Individual
Prefix:
First Name:FATIMA
Middle Name:
Last Name:HABEHH
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 1:6 YALE CT
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-5517
Mailing Address - Country:US
Mailing Address - Phone:201-519-7544
Mailing Address - Fax:
Practice Address - Street 1:15 WARREN ST STE 23
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-5436
Practice Address - Country:US
Practice Address - Phone:201-205-1131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL07066100104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker