Provider Demographics
NPI:1265767412
Name:ABDULLAH, YASMINAH A (MS CCC/SLP)
Entity type:Individual
Prefix:MS
First Name:YASMINAH
Middle Name:A
Last Name:ABDULLAH
Suffix:
Gender:F
Credentials:MS CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9722 GROFFS MILL DR # 247
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-6341
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:118 VINTAGE PARK BLVD STE W500
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4095
Practice Address - Country:US
Practice Address - Phone:713-489-6697
Practice Address - Fax:443-279-2976
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-06
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05608235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist