Healthcare Provider Details

I. General information

NPI: 1851037691
Provider Name (Legal Business Name): SHIRA ZIAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2022
Last Update Date: 05/05/2022
Certification Date: 05/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1616 E INDIAN SCHOOL RD STE 150&160
PHOENIX AZ
85016-8601
US

IV. Provider business mailing address

1830 S ALMA SCHOOL RD STE 101
MESA AZ
85210-3086
US

V. Phone/Fax

Practice location:
  • Phone: 480-649-3352
  • Fax: 480-649-3358
Mailing address:
  • Phone: 480-649-3352
  • Fax: 480-649-3358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: