Provider Demographics
NPI:1093206146
Name:QURESHI, ZAHRA A (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ZAHRA
Middle Name:A
Last Name:QURESHI
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1230 JOHNSON FERRY PL STE G10
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-2045
Mailing Address - Country:US
Mailing Address - Phone:770-321-6705
Mailing Address - Fax:404-551-3891
Practice Address - Street 1:1230 JOHNSON FERRY PL STE G10
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-2045
Practice Address - Country:US
Practice Address - Phone:770-321-6705
Practice Address - Fax:404-551-3891
Is Sole Proprietor?:No
Enumeration Date:2018-05-24
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPCET002697235Z00000X
GA14243833235Z00000X
GASLP010519235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist