Provider Demographics
NPI:1639661200
Name:ALI, SABAH (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SABAH
Middle Name:
Last Name:ALI
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 1:15950 PARAMOUNT WAY APT 2402
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-7249
Mailing Address - Country:US
Mailing Address - Phone:209-423-4295
Mailing Address - Fax:
Practice Address - Street 1:1515 HERITAGE DR STE 105
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-3378
Practice Address - Country:US
Practice Address - Phone:972-562-0190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-30
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25475235Z00000X
TX119372235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist