Provider Demographics
NPI:1962155192
Name:ABU-HAMDAN, ZARA ANN (MS)
Entity type:Individual
Prefix:
First Name:ZARA
Middle Name:ANN
Last Name:ABU-HAMDAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3363 S KINNICKINNIC AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53207-3162
Mailing Address - Country:US
Mailing Address - Phone:414-232-6709
Mailing Address - Fax:
Practice Address - Street 1:4650 N PORT WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53212-1077
Practice Address - Country:US
Practice Address - Phone:262-646-8288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-28
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health