Provider Demographics
NPI:1346054756
Name:SOHERWARDI, NABIHA F
Entity type:Individual
Prefix:
First Name:NABIHA
Middle Name:F
Last Name:SOHERWARDI
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 1:23603 NE 39TH PL
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98053-2629
Mailing Address - Country:US
Mailing Address - Phone:425-999-7230
Mailing Address - Fax:
Practice Address - Street 1:23603 NE 39TH PL
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98053-2629
Practice Address - Country:US
Practice Address - Phone:425-999-7230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician