Aishah Aifadhalah, CCC-SLP
Speech-Language Pathologist, in Baltimore, MD. Individual provider (NPI-1).
NPI number1679979686
StatusActive
Last updated in NPPESOct 26, 2016
Details
- NPI
- 1679979686
- Entity type
- Individual (NPI-1)
- Name
- Ms. Aishah Aifadhalah
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 18, 2014
- Last updated
- Oct 26, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
707 N. BroadwayBaltimore, MD 21205
Phone 443-923-1872
Mailing address
2931 E. Biddle StPatient Accounting
Baltimore, MD 21213
Phone 443-923-1872
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