Provider Demographics
NPI:1174814198
Name:ABOLHASSANI, SHEEVA (SHEEVA ABOLHASSANI)
Entity Type:Individual
Prefix:MS
First Name:SHEEVA
Middle Name:
Last Name:ABOLHASSANI
Suffix:
Gender:F
Credentials:SHEEVA ABOLHASSANI
Other - Prefix:MS
Other - First Name:SHEEVA
Other - Middle Name:
Other - Last Name:ABOLHASSANI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SHEEVA ABOLHASSANI
Mailing Address - Street 1:44 BRISSETT ST
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-4502
Mailing Address - Country:US
Mailing Address - Phone:978-726-6402
Mailing Address - Fax:
Practice Address - Street 1:44 BRISSETT ST
Practice Address - Street 2:
Practice Address - City:DRACUT
Practice Address - State:MA
Practice Address - Zip Code:01826-4502
Practice Address - Country:US
Practice Address - Phone:978-726-6402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-25
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist