Provider Demographics
NPI:1316787351
Name:MARYLAND SPEECH AND SWALLOWING HEALING CENTER
Entity type:Organization
Organization Name:MARYLAND SPEECH AND SWALLOWING HEALING CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LUBNA
Authorized Official - Middle Name:
Authorized Official - Last Name:NABULSI
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC SLP
Authorized Official - Phone:443-228-3458
Mailing Address - Street 1:600 WYNDHURST AVE STE 245C
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21210-2436
Mailing Address - Country:US
Mailing Address - Phone:443-228-3458
Mailing Address - Fax:443-292-6938
Practice Address - Street 1:600 WYNDHURST AVE STE 245C
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21210-2436
Practice Address - Country:US
Practice Address - Phone:443-228-3458
Practice Address - Fax:443-292-6938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-28
Last Update Date:2025-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty