Provider Demographics
NPI:1962284588
Name:AMERICAN LOGOPEDICS PLLC
Entity type:Organization
Organization Name:AMERICAN LOGOPEDICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SLP
Authorized Official - Prefix:
Authorized Official - First Name:SAKINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARHBOUCH
Authorized Official - Suffix:
Authorized Official - Credentials:MASTER
Authorized Official - Phone:571-308-4071
Mailing Address - Street 1:40482 OCONNORS CIR
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20175-7520
Mailing Address - Country:US
Mailing Address - Phone:571-308-4071
Mailing Address - Fax:
Practice Address - Street 1:40482 OCONNORS CIR
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-7520
Practice Address - Country:US
Practice Address - Phone:571-308-4071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty