Provider Demographics
NPI:1699538082
Name:METTIAS, NABILA EMIL (SLPA)
Entity type:Individual
Prefix:MRS
First Name:NABILA
Middle Name:EMIL
Last Name:METTIAS
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:MISS
Other - First Name:NABILA
Other - Middle Name:EMIL
Other - Last Name:KHALIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:22722 LAMBERT ST STE 1711
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-1618
Mailing Address - Country:US
Mailing Address - Phone:949-329-8161
Mailing Address - Fax:
Practice Address - Street 1:22722 LAMBERT STREET
Practice Address - Street 2:SUITE 1711
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630
Practice Address - Country:US
Practice Address - Phone:949-329-8161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA81372355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant