Provider Demographics
NPI:1760296115
Name:KHADIR, SOUKAINA (BS IN PSYCHOLOGY)
Entity type:Individual
Prefix:MRS
First Name:SOUKAINA
Middle Name:
Last Name:KHADIR
Suffix:
Gender:F
Credentials:BS IN PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 MARINE AVE APT 2D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-7909
Mailing Address - Country:US
Mailing Address - Phone:347-322-2185
Mailing Address - Fax:
Practice Address - Street 1:202 MARINE AVE APT 2D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-7909
Practice Address - Country:US
Practice Address - Phone:347-322-2185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator