Provider Demographics
NPI:1861700445
Name:SADATRAFIEI, ZOHREH NIKOO (PSYD, MFT)
Entity type:Individual
Prefix:
First Name:ZOHREH
Middle Name:NIKOO
Last Name:SADATRAFIEI
Suffix:
Gender:F
Credentials:PSYD, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:991C LOMAS SANTA FE DR # 115
Mailing Address - Street 2:
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-2125
Mailing Address - Country:US
Mailing Address - Phone:858-342-5514
Mailing Address - Fax:858-350-9337
Practice Address - Street 1:731 S HIGHWAY 101 STE 1E
Practice Address - Street 2:
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-2628
Practice Address - Country:US
Practice Address - Phone:858-342-5514
Practice Address - Fax:858-350-9337
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-17
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA91316106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist