Provider Demographics
NPI:1871801076
Name:SOBHRAJ, ZARAH (MA CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:ZARAH
Middle Name:
Last Name:SOBHRAJ
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 1:20 CHAPEL ST
Mailing Address - Street 2:APT. A510
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-7458
Mailing Address - Country:US
Mailing Address - Phone:516-375-7397
Mailing Address - Fax:
Practice Address - Street 1:20 CHAPEL ST
Practice Address - Street 2:APT. A510
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-7458
Practice Address - Country:US
Practice Address - Phone:516-375-7397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-22
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018355-1235Z00000X
MA8526235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist