NPI 1023852902 · live from the CMS NPI Registry
Oubah Abdalla, Psy D
Psychologist in Jackson, TN. National Provider Identifier 1023852902, active.
NPI record
| NPI | 1023852902 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 382 Carriage House Dr Ste D, Jackson, TN 38305 |
| Practice phone | 215-429-1730 |
| Enumerated | June 24, 2024 |
| Last updated | June 24, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | 3962 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.