| Doctor Name: | DR. SHAHEEN NAZIR AWAN |
| NPI Number: | 1619954591 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | SL004675L |
| Business Practice Address: | 6850 Lows Rd Ste 320 Northeast Ear, Nose & Throat Bloomsburg, PA - 178158708 |
| Business Phone Number: | 5703874368 |
| Business Fax Number: | |
| Mailing Address: | 3 Glenwood Dr, BLOOMSBURG |
| State: | PA |
| Postal Code: | 178158619 |
| Phone Number: | 5707591359 |
| Fax Number: | |
| NPI Enumeration Date: | 12/30/2005 |
| NPI Last Update Date: | 10/31/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SL004675L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| 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 |