Provider Demographics
NPI:1184241895
Name:ZEROUALI, HAFIDA
Entity type:Individual
Prefix:
First Name:HAFIDA
Middle Name:
Last Name:ZEROUALI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 HIGHLAND CORPORATE DR APT 401
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-8726
Mailing Address - Country:US
Mailing Address - Phone:401-282-8361
Mailing Address - Fax:
Practice Address - Street 1:99 BERKSHIRE ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02908-2553
Practice Address - Country:US
Practice Address - Phone:401-752-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-29
Last Update Date:2025-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW03799104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker