Individual
AISHA ABDUL-SAMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
1562 OPOSSUMTOWN PIKE, FREDERICK, MD 21702-4337
(240) 566-3333
(240) 566-3892
Mailing address
1562 OPOSSUMTOWN PIKE, FREDERICK, MD 21702-4337
(240) 566-3333
(240) 566-3892
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05356
MD
235Z00000X
Speech-Language Pathologist
108705
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05356
LICENSE #
MD
Enumeration date
04/11/2007
Last updated
09/06/2013
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