Provider Demographics
NPI:1093591497
Name:NAQVI, ZAHRA KALSOOM (SLP)
Entity Type:Individual
Prefix:
First Name:ZAHRA
Middle Name:KALSOOM
Last Name:NAQVI
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 S RIDGEVIEW RD
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-4817
Mailing Address - Country:US
Mailing Address - Phone:631-617-0031
Mailing Address - Fax:
Practice Address - Street 1:1401 N TUSTIN AVE STE 270
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-8656
Practice Address - Country:US
Practice Address - Phone:714-730-7700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-01
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34709235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist