Healthcare Provider Details

I. General information

NPI: 1710730742
Provider Name (Legal Business Name): HUMMA K ARSHAD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2024
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1355 N GREENFIELD RD
MESA AZ
85205-4073
US

IV. Provider business mailing address

4510 E BANNER GATEWAY DR APT 1043
MESA AZ
85206-4750
US

V. Phone/Fax

Practice location:
  • Phone: 480-937-2860
  • Fax:
Mailing address:
  • Phone: 951-818-3595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLAMFT-11095
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: