Provider Demographics
NPI:1457803744
Name:HALA ABOULHOSN
Entity Type:Organization
Organization Name:HALA ABOULHOSN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:HALA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABOULHOSN
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:718-607-8797
Mailing Address - Street 1:97 COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-2503
Mailing Address - Country:US
Mailing Address - Phone:718-607-8797
Mailing Address - Fax:
Practice Address - Street 1:97 COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:NUTLEY
Practice Address - State:NJ
Practice Address - Zip Code:07110-2503
Practice Address - Country:US
Practice Address - Phone:718-607-8797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-02
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00633300235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty