Provider Demographics
NPI:1689064040
Name:EL ALEEM BEY, ONIZAN (MHS)
Entity type:Individual
Prefix:
First Name:ONIZAN
Middle Name:
Last Name:EL ALEEM BEY
Suffix:
Gender:F
Credentials:MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7356 WOODCREST AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19151-2213
Mailing Address - Country:US
Mailing Address - Phone:267-847-2016
Mailing Address - Fax:
Practice Address - Street 1:2275 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19137-2307
Practice Address - Country:US
Practice Address - Phone:215-772-0101
Practice Address - Fax:215-772-0303
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-23
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health