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Organization
THE BEACON CLINIC LLC
Active
Organization
THE BEACON CLINIC LLC
Active
Other names
The Beacon Clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LUBNA SAMEH NABULSI B.S., M.S., CCC-SLP (CLINICAL DIRECTOR)
(443) 228-3458
Entity
Organization
Contact information
Practice address
600 WYNDHURST AVE STE 245C, BALTIMORE, MD 21210-2436
(443) 228-3458
(443) 292-6938
Mailing address
600 WYNDHURST AVE STE 245C, BALTIMORE, MD 21210-2436
(443) 228-3458
(443) 292-6938
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009732369
UNITEDHEALTHCARE
MD
01
—
0315614
CIGNA
MD
05
—
228256900
—
MD
01
—
8452974
AETNA
MD
01
—
ZW870000
CAREFIRST
MD
Enumeration date
05/28/2024
Last updated
02/23/2026
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