Provider Demographics
NPI:1700407822
Name:AHMED, BIYA MARYUM (MS-SLP, CF)
Entity Type:Individual
Prefix:
First Name:BIYA
Middle Name:MARYUM
Last Name:AHMED
Suffix:
Gender:F
Credentials:MS-SLP, CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 N ELDRIDGE PKWY APT 461
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-2753
Mailing Address - Country:US
Mailing Address - Phone:630-220-5528
Mailing Address - Fax:
Practice Address - Street 1:875 N ELDRIDGE PKWY APT 461
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-2753
Practice Address - Country:US
Practice Address - Phone:630-220-5528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-29
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116380235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0000000000OtherN/A