IndividualActive
Husam Mackawi
NPI 1861285090 · Clinical Child & Adolescent Psychologist · Eden Prairie, MN
Provider details
- NPI number
- 1861285090
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
6385 Old Shady Oak Rd
Suite 250 Ofc 290
Eden Prairie, MN 55344
Phone: (720) 333-0215
Approximate (ZIP-level) locationGet directions
Mailing address
6385 Old Shady Oak Rd
Eden Prairie, MN 55344
Registry dates
- Enumerated
- 2025-05-28
- Last updated
- 2025-05-28
- Certified
- 2025-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.