Basic Information
Provider Information
NPI: 1407370950
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OSMAN-AHMED
FirstName: MARWA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: SLP-CCC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: OSMAN
OtherFirstName: MARWA
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: SLP-CCC
OtherLastNameType: 1
Mailing Information
Address1: 12411 SLAUSON AVE STE H
Address2:  
City: WHITTIER
State: CA
PostalCode: 906062835
CountryCode: US
TelephoneNumber: 5626935449
FaxNumber:  
Practice Location
Address1: 12411 SLAUSON AVE STE H
Address2:  
City: WHITTIER
State: CA
PostalCode: 906062835
CountryCode: US
TelephoneNumber: 5626935449
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/26/2017
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X23438CAY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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