Provider Demographics
NPI:1124277801
Name:KHEMAI, BABITA (MA, CCC-SLP, TSHH)
Entity type:Individual
Prefix:
First Name:BABITA
Middle Name:
Last Name:KHEMAI
Suffix:
Gender:F
Credentials:MA, CCC-SLP, TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19631 69TH AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-4032
Mailing Address - Country:US
Mailing Address - Phone:718-551-2857
Mailing Address - Fax:718-228-9805
Practice Address - Street 1:19631 69TH AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11365-4032
Practice Address - Country:US
Practice Address - Phone:718-551-2857
Practice Address - Fax:718-228-9805
Is Sole Proprietor?:No
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017055235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist