Active NPI
Sophie Anna Mazloum, SLP
- Speech-Language Pathologist
- Liberty TWP, OH
National Provider Identifier
1699505495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.16470
- Practice address
- 5345 Kyles Station Rd
Liberty TWP, OH 45011-8400 - Phone
- (513) 755-8200
- NPI assigned
- Aug 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP.16470 | OH | Primary |
Addresses
Primary practice location
5345 Kyles Station Rd
Liberty TWP, OH 45011-8400
Mailing address
2935 Linwood Ave
Cincinnati, OH 45208-2838
Phone (614) 314-6725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP.16470 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1699505495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2935 LINWOOD AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452082838",
"telephone_number": "614-314-6725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5345 KYLES STATION RD",
"city": "LIBERTY TWP",
"state": "OH",
"postal_code": "450118400",
"telephone_number": "513-755-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZLOUM",
"first_name": "SOPHIE",
"middle_name": "ANNA",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-06",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.16470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liberty TWP, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.