Provider Demographics
NPI:1629467923
Name:KHATER, NAJWA (MA,SLP-CCC)
Entity Type:Individual
Prefix:
First Name:NAJWA
Middle Name:
Last Name:KHATER
Suffix:
Gender:F
Credentials:MA,SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8512 TUSCANY AVE APT 301
Mailing Address - Street 2:
Mailing Address - City:PLAYA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90293-8160
Mailing Address - Country:US
Mailing Address - Phone:310-621-8485
Mailing Address - Fax:
Practice Address - Street 1:8512 TUSCANY AVE APT 301
Practice Address - Street 2:
Practice Address - City:PLAYA DEL REY
Practice Address - State:CA
Practice Address - Zip Code:90293-8160
Practice Address - Country:US
Practice Address - Phone:310-621-8485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-09
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP9778235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist