Yasamin Khanlou, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

120698 Issued in TX

Practice address

1601 N Collins Blvd
Richardson, TX 75080-3520

Phone

(972) 470-5855

NPI assigned

Apr 10, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Mathis Therapy - a Therapy Connection, LLC

  • Speech-Language Pathologist
  • Richardson, TX
  • NPI 1295829091
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1740033554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13675 NOEL RD APT 237",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404793",
            "telephone_number": "713-775-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N COLLINS BLVD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803520",
            "telephone_number": "972-470-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANLOU",
        "first_name": "YASAMIN",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "120698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammad Awais Khan, M.D.
• Nawal Khan, MSN, APRN, PMHNP-BC
• Ramsha Khan
• Yasmin B Khan, M D P A
• Ranjana Khanal, FNP
• Mohamed Khattab
• Rugare Mugabe Khosa, APRN FNP
• Sandy Khuu
• Caroline Chepkemoi Kibore, APRN
• Cindy Lee Kidner, PH.D.

• Speech-Language Pathologist in Richardson, TX
• Providers in Richardson, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.