Provider Demographics
NPI:1285289181
Name:MENSAH, ABENA OWUSUA (CCC-SLP)
Entity type:Individual
Prefix:
First Name:ABENA
Middle Name:OWUSUA
Last Name:MENSAH
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10301 GRAND CENTRAL AVE APT 308
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-4073
Mailing Address - Country:US
Mailing Address - Phone:434-466-8796
Mailing Address - Fax:
Practice Address - Street 1:10301 GRAND CENTRAL AVE APT 308
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4073
Practice Address - Country:US
Practice Address - Phone:434-466-8796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-07
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer