Provider Demographics
NPI:1710401583
Name:ARASTU, NASREEN (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:NASREEN
Middle Name:
Last Name:ARASTU
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 1:2151 CUMBERLAND PKWY SE APT 1223
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-5034
Mailing Address - Country:US
Mailing Address - Phone:248-622-1752
Mailing Address - Fax:
Practice Address - Street 1:2151 CUMBERLAND PKWY SE APT 1223
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-5034
Practice Address - Country:US
Practice Address - Phone:248-622-1752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP009671235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist