Healthcare Provider Details

I. General information

NPI: 1972425668
Provider Name (Legal Business Name): SAHAR RESHAD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2865 S MAIN ST
ANN ARBOR MI
48103-6964
US

IV. Provider business mailing address

443 VILLAGE GREEN BLVD APT 207
ANN ARBOR MI
48105-2781
US

V. Phone/Fax

Practice location:
  • Phone: 734-316-4175
  • Fax:
Mailing address:
  • Phone: 214-777-3761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101010003
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: