Anisa Sophia Mohammed, PSYD, LP

NPI #1215364625 in Shakopee, Minnesota

Provider Information

NPI Number
1215364625
Entity Type
Individual
Name
Anisa Sophia Mohammed, PSYD, LP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - Clinical
Credential
PSYD, LP
Enumeration Date
Sep 30, 2013
Last Updated
Sep 30, 2013

Practice Location

Address
200 4TH AVE W
Address 2
#300
ZIP Code
55379-1220
Phone
(952) 496-8614

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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