Individual
HASSAN KHALIF HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
938 6TH ST E, SAINT PAUL, MN 55106-4504
(315) 450-7121
(651) 389-0540
Mailing address
938 6TH ST E, SAINT PAUL, MN 55106-4504
(315) 450-7121
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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