Basic Information
| Provider Information | |||||||||
| NPI: | 1184241895 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZEROUALI | ||||||||
| FirstName: | HAFIDA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3595 POST RD APT 8809 | ||||||||
| Address2: | |||||||||
| City: | WARWICK | ||||||||
| State: | RI | ||||||||
| PostalCode: | 028867014 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4012828361 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1126 HARTFORD AVE | ||||||||
| Address2: | |||||||||
| City: | JOHNSTON | ||||||||
| State: | RI | ||||||||
| PostalCode: | 029197109 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4015191940 | ||||||||
| FaxNumber: | 4013516613 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/29/2020 | ||||||||
| LastUpdateDate: | 07/06/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/06/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 3013652 | RI | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.