Provider Demographics
NPI:1790092955
Name:ZANDIEH, ROMINA (SLP)
Entity Type:Individual
Prefix:MRS
First Name:ROMINA
Middle Name:
Last Name:ZANDIEH
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MS
Other - First Name:ROMINA
Other - Middle Name:
Other - Last Name:SHAMSHIRI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:4629 HOME PL
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-2418
Mailing Address - Country:US
Mailing Address - Phone:917-574-2118
Mailing Address - Fax:
Practice Address - Street 1:5926 W PARKER RD STE 500
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-6420
Practice Address - Country:US
Practice Address - Phone:972-728-0443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-09
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1184084235Z00000X
TX117820235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist