Individual
HIBA IMAN SHUTTARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, CF-SLP
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
45246 CHESTNUT CT, SHELBY TOWNSHIP, MI 48317-4913
(586) 932-7984
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005182
MI
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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