Provider Demographics
NPI:1477861664
Name:MOHAMED, AREFA F (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:AREFA
Middle Name:F
Last Name:MOHAMED
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 1:14071 ASH AVE
Mailing Address - Street 2:APT 407
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-2764
Mailing Address - Country:US
Mailing Address - Phone:347-551-2719
Mailing Address - Fax:
Practice Address - Street 1:14071 ASH AVE
Practice Address - Street 2:APT 407
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-2764
Practice Address - Country:US
Practice Address - Phone:347-551-2719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-22
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020172-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist