Provider Demographics
NPI:1518308022
Name:DIFRANCO, BAHAR (MSCCC-SLP)
Entity Type:Individual
Prefix:
First Name:BAHAR
Middle Name:
Last Name:DIFRANCO
Suffix:
Gender:F
Credentials:MSCCC-SLP
Other - Prefix:
Other - First Name:BAHAR
Other - Middle Name:
Other - Last Name:HATAMI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2907 BLUE LAKES LN
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3072
Mailing Address - Country:US
Mailing Address - Phone:512-738-0465
Mailing Address - Fax:
Practice Address - Street 1:1110 NASA PKWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3310
Practice Address - Country:US
Practice Address - Phone:512-738-0465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-12
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108704235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist