Provider Demographics
NPI:1831477538
Name:FATEH, SADAF (AUD)
Entity Type:Individual
Prefix:
First Name:SADAF
Middle Name:
Last Name:FATEH
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13555 W MCDOWELL RD STE 209
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-2628
Mailing Address - Country:US
Mailing Address - Phone:623-512-4199
Mailing Address - Fax:602-512-4176
Practice Address - Street 1:13555 W MCDOWELL RD STE 209
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-2628
Practice Address - Country:US
Practice Address - Phone:623-512-4199
Practice Address - Fax:623-512-4176
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-28
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA6998231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist