Sufia Shaista Nisar, M.Sc., CCC-SLP
Speech-Language Pathologist, in Pepper Pike, OH. Individual provider (NPI-1).
NPI number1619251774
StatusActive
Last updated in NPPESNov 4, 2014
Details
- NPI
- 1619251774
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Sufia Shaista Nisar
- Credential
- M.Sc., CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2011
- Last updated
- Nov 4, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | sp-10166 | OH | Yes |
Practice location
6475 Park Pointe CtPepper Pike, OH 44124-5395
Phone 732-476-4334
Mailing address
6475 Park Pointe CtPepper Pike, OH 44124-5395
Phone 732-476-4334
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