Individual
MR. MICHAEL MUSHTAQ AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD.CCC-SLP
Contact information
Practice address
8560 LA MANCHA LN, FLAGSTAFF, AZ 86004-3287
(928) 526-0034
Mailing address
8560 LA MANCHA LN, FLAGSTAFF, AZ 86004-3287
(928) 526-0034
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP5478
AZ
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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