Basic Information
| Provider Information | |||||||||
| NPI: | 1821697129 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HASANJEE | ||||||||
| FirstName: | AISHA | ||||||||
| MiddleName: | SOHAIL | ||||||||
| NamePrefix: | MISS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5100 N BROOKLINE AVE | ||||||||
| Address2: | |||||||||
| City: | OKLAHOMA CITY | ||||||||
| State: | OK | ||||||||
| PostalCode: | 731123623 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1900 E 15TH ST STE 800B | ||||||||
| Address2: | |||||||||
| City: | EDMOND | ||||||||
| State: | OK | ||||||||
| PostalCode: | 730136682 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4054556868 | ||||||||
| FaxNumber: | 4055623444 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/19/2020 | ||||||||
| LastUpdateDate: | 09/30/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/30/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 5871 | OK | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | 103K00000X | N | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.