Provider Demographics
NPI:1225700263
Name:DARWISH, SANNA ALI (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SANNA
Middle Name:ALI
Last Name:DARWISH
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13141 ISLE OF MANN WAY
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:MD
Mailing Address - Zip Code:20777-9788
Mailing Address - Country:US
Mailing Address - Phone:301-747-8335
Mailing Address - Fax:
Practice Address - Street 1:13141 ISLE OF MANN WAY
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:MD
Practice Address - Zip Code:20777-9788
Practice Address - Country:US
Practice Address - Phone:301-747-8335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD09902235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty