Provider Demographics
NPI:1205119906
Name:AHMED, SARAH J (CCC-SLP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:J
Last Name:AHMED
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:PADILLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:320 W 37TH ST RM 302A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-4266
Mailing Address - Country:US
Mailing Address - Phone:310-906-7439
Mailing Address - Fax:212-239-1929
Practice Address - Street 1:320 W 37TH ST RM 302A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-4266
Practice Address - Country:US
Practice Address - Phone:310-906-7439
Practice Address - Fax:212-239-1929
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021388235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist