Provider Demographics
NPI:1467119107
Name:ALNAASAN, REEM (SP)
Entity Type:Individual
Prefix:
First Name:REEM
Middle Name:
Last Name:ALNAASAN
Suffix:
Gender:F
Credentials:SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5563 RIDGEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-4129
Mailing Address - Country:US
Mailing Address - Phone:216-744-4402
Mailing Address - Fax:
Practice Address - Street 1:3588 MARTIN LUTHER KING JR DR
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44105-2465
Practice Address - Country:US
Practice Address - Phone:216-838-4250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-17
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOND.20211782-SP235Z00000X
OHSP.15220235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist