Provider Demographics
NPI:1992041750
Name:SAIDUDDIN, ALIYA YAMANI
Entity Type:Individual
Prefix:
First Name:ALIYA
Middle Name:YAMANI
Last Name:SAIDUDDIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 PALMATUM
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-1862
Mailing Address - Country:US
Mailing Address - Phone:714-328-8874
Mailing Address - Fax:
Practice Address - Street 1:6 PALMATUM
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92620-1862
Practice Address - Country:US
Practice Address - Phone:714-328-8874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-26
Last Update Date:2012-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18243235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist