Shaghayegh Rastifar
Speech-Language Pathologist, in San Antonio, TX. Individual provider (NPI-1).
NPI number1982168704
StatusActive
Last updated in NPPESJan 25, 2019
Details
- NPI
- 1982168704
- Entity type
- Individual (NPI-1)
- Name
- Shaghayegh Rastifar
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 25, 2019
- Last updated
- Jan 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 115228 | TX | Yes |
Practice location
8501 Laurens LnSan Antonio, TX 78218-6092
Phone 210-804-1223
Mailing address
8501 Laurens LnSan Antonio, TX 78218-6092
Phone 210-804-1279
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