Healthcare Provider Details

I. General information

NPI: 1558277913
Provider Name (Legal Business Name): SAMAN QAZI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 KETCHAM LN
WEYMOUTH MA
02190-3247
US

IV. Provider business mailing address

6 KETCHAM LN
WEYMOUTH MA
02190-3247
US

V. Phone/Fax

Practice location:
  • Phone: 781-985-0156
  • Fax:
Mailing address:
  • Phone: 781-985-0156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: