Provider Demographics
NPI:1285322040
Name:RAHMAN, FATIMA ZAHRA
Entity type:Individual
Prefix:
First Name:FATIMA
Middle Name:ZAHRA
Last Name:RAHMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1138 MERIDIAN CIR APT 104
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22802-2652
Mailing Address - Country:US
Mailing Address - Phone:503-329-1189
Mailing Address - Fax:
Practice Address - Street 1:91 E GRACE ST
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22807-1014
Practice Address - Country:US
Practice Address - Phone:503-329-1189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-28
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool