Healthcare Provider Details

I. General information

NPI: 1871149054
Provider Name (Legal Business Name): ZOHA FARHAN QURESHI MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2019
Last Update Date: 08/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 S WASHITA AVE
WYNNEWOOD OK
73098-7820
US

IV. Provider business mailing address

727 SUNDOWN DR
NORMAN OK
73069-6546
US

V. Phone/Fax

Practice location:
  • Phone: 405-665-4385
  • Fax: 405-665-6396
Mailing address:
  • Phone: 405-625-6492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: