Provider Demographics
NPI:1437948353
Name:IFTEIHA, AYAH (LPA)
Entity type:Individual
Prefix:
First Name:AYAH
Middle Name:
Last Name:IFTEIHA
Suffix:
Gender:F
Credentials:LPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 MILFORD
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-0507
Mailing Address - Country:US
Mailing Address - Phone:214-718-6368
Mailing Address - Fax:
Practice Address - Street 1:6303 COMMERCE DR STE 175
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-2691
Practice Address - Country:US
Practice Address - Phone:214-940-9089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40587103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical