Provider Demographics
NPI:1831577048
Name:GUARDIA, MAJDAL I (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:MAJDAL
Middle Name:I
Last Name:GUARDIA
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:MAJDAL
Other - Middle Name:I
Other - Last Name:ZAINEH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:222 E 3RD ST APT 1E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-7573
Mailing Address - Country:US
Mailing Address - Phone:973-393-8258
Mailing Address - Fax:
Practice Address - Street 1:222 E 3RD ST APT 1E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-7573
Practice Address - Country:US
Practice Address - Phone:973-393-8258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
252Y00000X
NY025698235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No252Y00000XAgenciesEarly Intervention Provider Agency