| Doctor Name: | MUMTAZ SHAIK |
| NPI Number: | 1235350422 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | 2824 |
| Business Practice Address: | 1223 Julian R Allsbrook Hwy Roanoke Rapids, NC - 278705126 |
| Business Phone Number: | 2525371215 |
| Business Fax Number: | 2525371816 |
| Mailing Address: | Po Box 7594, ROCKY MOUNT |
| State: | NC |
| Postal Code: | 278040594 |
| Phone Number: | 2524430808 |
| Fax Number: | 2524519032 |
| NPI Enumeration Date: | 05/02/2007 |
| NPI Last Update Date: | 04/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2824 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| 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 |