Provider Demographics
NPI:1629956685
Name:HAMEED, AYSHA
Entity type:Individual
Prefix:
First Name:AYSHA
Middle Name:
Last Name:HAMEED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9312 OLD KEENE MILL RD STE 100
Mailing Address - Street 2:
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-4283
Mailing Address - Country:US
Mailing Address - Phone:703-454-4888
Mailing Address - Fax:
Practice Address - Street 1:9312 OLD KEENE MILL RD STE 100
Practice Address - Street 2:
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-4283
Practice Address - Country:US
Practice Address - Phone:703-454-4888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704018420101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health