Nour Ehab Samaha

Individual provider Active NPI Speech-Language Pathologist · Dearborn, MI

NPI 1720565765 · NPPES record last updated Jan 6, 2021

Key facts

NPI
1720565765
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
7151013473 (MI)
Practice address
3101 S Gulley Rd Ste F
Dearborn, MI 48124-4406
Phone
(734) 407-2500
Fax
(313) 792-8962
NPI assigned
Jul 23, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
7151013473MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Futures Healthcore, LLC Speech-Language Pathologist Current
since Jan 10, 2021
Accepting new patients
Issa Speech Therapy PLLC Current
since Oct 20, 2024
Accepting new patients

Locations

2900 Golfside Dr
Ste 6
Ann Arbor, MI 48108
Phone (734) 224-9121

5245 Schaefer Rd
Ste D
Dearborn, MI 48126
Phone (248) 862-5311

3101 S Gulley Rd
Ste F
Dearborn, MI 48124
Phone (734) 407-2500

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X MI
Speech-Language Pathologist 235Z00000X 7151013473 MI Yes

Addresses

Primary practice location

3101 S Gulley Rd Ste F
Dearborn, MI 48124-4406

Mailing address

216 Nura CT
Ypsilanti, MI 48197-7464
Phone (734) 444-4963

Other practice location 1

216 Nura Ct
Ypsilanti, MI 48197-7464
Phone (734) 444-4963

Other providers in Dearborn, MI

All providers in Dearborn, MI · Speech-Language Pathologist in Michigan

Sources for this page

Verify at the official NPI Registry.