Healthcare Provider Details

I. General information

NPI: 1609400720
Provider Name (Legal Business Name): HOMA RACHEL ZAFER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2020
Last Update Date: 03/31/2021
Certification Date: 03/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4144 LINDELL BLVD STE 108
SAINT LOUIS MO
63108-2931
US

IV. Provider business mailing address

4144 LINDELL BLVD STE 108
SAINT LOUIS MO
63108-2931
US

V. Phone/Fax

Practice location:
  • Phone: 314-875-0182
  • Fax: 314-875-0189
Mailing address:
  • Phone: 314-875-0182
  • Fax: 314-875-0189

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: