Provider Demographics
NPI:1275993602
Name:MOHAMMED, YASMIN KHAN (MS - SLP)
Entity Type:Individual
Prefix:MRS
First Name:YASMIN
Middle Name:KHAN
Last Name:MOHAMMED
Suffix:
Gender:F
Credentials:MS - SLP
Other - Prefix:MS
Other - First Name:YASMIN
Other - Middle Name:
Other - Last Name:KHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS - SLP
Mailing Address - Street 1:4141 E FAUNA AVE
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-2830
Mailing Address - Country:US
Mailing Address - Phone:818-590-9624
Mailing Address - Fax:
Practice Address - Street 1:4141 E FAUNA AVE
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-2830
Practice Address - Country:US
Practice Address - Phone:818-590-9624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-26
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist