Sultana Abdur Raheem
Speech-Language Pathologist, in Philadelphia, PA. Individual provider (NPI-1).
NPI number1093532087
StatusActive
Last updated in NPPESSep 23, 2024
Details
- NPI
- 1093532087
- Entity type
- Individual (NPI-1)
- Name
- Sultana Abdur Raheem
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 23, 2024
- Certification date
- Sep 16, 2024
- Last updated
- Sep 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SL017760 | PA | Yes |
Practice location
Bayard Taylor Elementary School3698 North Randolph Street
Philadelphia, PA 19140
Phone 215-400-3880
Mailing address
Bayard Taylor School3698 North Randolph Street
Philadelphia, PA 19140
Phone 215-400-3880
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