| Doctor Name: | SYED ABSARUDDIN HASAN |
| NPI Number: | 1720380884 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS-CCC-SLP |
| License Number: | 17675 |
| Business Practice Address: | 3505 Old Jacksonville Rd Tyler, TX - 757018510 |
| Business Phone Number: | 9035617835 |
| Business Fax Number: | 9035619878 |
| Mailing Address: | 10113 Hwy 64 E, TYLER |
| State: | TX |
| Postal Code: | 757072390 |
| Phone Number: | 9033635793 |
| Fax Number: | 9035619878 |
| NPI Enumeration Date: | 11/23/2010 |
| NPI Last Update Date: | 11/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 17675 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| 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 |