Sultana Abdur Raheem
Individual provider Active NPI Speech-Language Pathologist · Philadelphia, PA
NPI 1093532087 · NPPES record last updated Sep 23, 2024
Key facts
- NPI
- 1093532087
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SL017760 (PA)
- Practice address
- Bayard Taylor Elementary School
3698 North Randolph Street
Philadelphia, PA 19140 - Phone
- (215) 400-3880
- NPI assigned
- Sep 23, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL017760 | PA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL017760 | PA | Yes |
Addresses
Primary practice location
Bayard Taylor Elementary School
3698 North Randolph Street
Philadelphia, PA 19140
Mailing address
Bayard Taylor School
3698 North Randolph Street
Philadelphia, PA 19140
Phone (215) 400-3880
Other providers in Philadelphia, PA
- Mohammed Shayan Abdullah
- Natasha Abdullah
- Zafreen Abdullah
- Khadija A Abdullahi
- Amro Mohammed Abdulsattar
- Yahya Abdur Rahman
- Kareema Abdussalaam
- Fatima Abdussamad
- Kareem Abed
- Thair M Abed
All providers in Philadelphia, PA · Speech-Language Pathologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.