Provider Demographics
NPI:1043322357
Name:EL HABACHI, TAMELA D (MS, CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:TAMELA
Middle Name:D
Last Name:EL HABACHI
Suffix:
Gender:F
Credentials:MS, CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 LAKEWAY TRL
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-0986
Mailing Address - Country:US
Mailing Address - Phone:903-990-0829
Mailing Address - Fax:
Practice Address - Street 1:225 LAKEWAY TRL
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-0986
Practice Address - Country:US
Practice Address - Phone:973-314-1185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108768235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK7392760Medicare UPIN
OK697658Medicare UPIN