Provider Demographics
NPI:1174343271
Name:BABAA, NADA NABHAN (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:NADA
Middle Name:NABHAN
Last Name:BABAA
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18613 SUNHAVEN CT
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-3079
Mailing Address - Country:US
Mailing Address - Phone:301-661-5073
Mailing Address - Fax:
Practice Address - Street 1:18613 SUNHAVEN CT
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-3079
Practice Address - Country:US
Practice Address - Phone:301-661-5073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-14
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11037235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist