Provider Demographics
NPI:1639322894
Name:BAHBAHANI, NADA (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:NADA
Middle Name:
Last Name:BAHBAHANI
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 FORDHAM HILL OVAL
Mailing Address - Street 2:SUITE #14C
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10468-4716
Mailing Address - Country:US
Mailing Address - Phone:718-365-9531
Mailing Address - Fax:
Practice Address - Street 1:4 FORDHAM HILL OVAL
Practice Address - Street 2:SUITE #14C
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468-4716
Practice Address - Country:US
Practice Address - Phone:718-365-9531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-30
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012997-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist