Healthcare Provider Details

I. General information

NPI: 1811815541
Provider Name (Legal Business Name): ZARIFA K ROBERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

639 S BROAD ST APT P11
LANSDALE PA
19446-3739
US

IV. Provider business mailing address

639 S BROAD ST APT P11
LANSDALE PA
19446-3739
US

V. Phone/Fax

Practice location:
  • Phone: 215-738-8892
  • Fax:
Mailing address:
  • Phone: 215-738-8892
  • 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: