Provider Demographics
NPI:1194448266
Name:RAHMAN, SIYADA (MA SLP INTERN)
Entity type:Individual
Prefix:
First Name:SIYADA
Middle Name:
Last Name:RAHMAN
Suffix:
Gender:F
Credentials:MA SLP INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6424 SETTLERS VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-6503
Mailing Address - Country:US
Mailing Address - Phone:281-345-3200
Mailing Address - Fax:
Practice Address - Street 1:6424 SETTLERS VILLAGE DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-6503
Practice Address - Country:US
Practice Address - Phone:281-345-3200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-22
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist