Provider Demographics
NPI:1205201191
Name:NAKHODA, NAZNEEN (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:NAZNEEN
Middle Name:
Last Name:NAKHODA
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 1:3831 ROTHERFIELD LN
Mailing Address - Street 2:
Mailing Address - City:CHADDS FORD
Mailing Address - State:PA
Mailing Address - Zip Code:19317-8925
Mailing Address - Country:US
Mailing Address - Phone:610-405-3208
Mailing Address - Fax:
Practice Address - Street 1:3831 ROTHERFIELD LN
Practice Address - Street 2:
Practice Address - City:CHADDS FORD
Practice Address - State:PA
Practice Address - Zip Code:19317-8925
Practice Address - Country:US
Practice Address - Phone:610-405-3208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-03
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL004581L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist