Doctor Name: | MR. MICHAEL MUSHTAQ AHMED |
NPI Number: | 1023201456 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | EDD.CCC-SLP |
License Number: | SLP5478 |
Business Practice Address: | 8560 La Mancha Ln Flagstaff, AZ - 860043287 |
Business Phone Number: | 9285260034 |
Business Fax Number: | |
Mailing Address: | 8560 La Mancha Ln, FLAGSTAFF |
State: | AZ |
Postal Code: | 860043287 |
Phone Number: | 9285260034 |
Fax Number: | |
NPI Enumeration Date: | 08/20/2007 |
NPI Last Update Date: | 08/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP5478 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |