Provider Demographics
NPI:1639721780
Name:GHAFFARI ANARAKI, SIMIN (SPA)
Entity Type:Individual
Prefix:MS
First Name:SIMIN
Middle Name:
Last Name:GHAFFARI ANARAKI
Suffix:
Gender:F
Credentials:SPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1811 SANTA RITA RD STE 112
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-4741
Mailing Address - Country:US
Mailing Address - Phone:925-478-6217
Mailing Address - Fax:
Practice Address - Street 1:1811 SANTA RITA RD STE 112
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-4741
Practice Address - Country:US
Practice Address - Phone:925-478-6217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-09
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant