Provider Demographics
NPI:1255518668
Name:DARAMOLA, ZAHRA KAI (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ZAHRA
Middle Name:KAI
Last Name:DARAMOLA
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 E 52ND ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-5913
Mailing Address - Country:US
Mailing Address - Phone:917-292-9002
Mailing Address - Fax:718-928-7404
Practice Address - Street 1:807 E 52ND ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-5913
Practice Address - Country:US
Practice Address - Phone:917-292-9002
Practice Address - Fax:718-928-7404
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0114331235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist