Individual
ASSELAH SALEH ALWAQZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
10101 ROCKAWAY BLVD, OZONE PARK, NY 11417-2228
(718) 322-0500
(718) 738-9077
Mailing address
49 MONTROSE AVE, BROOKLYN, NY 11206-2580
(718) 473-3808
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
032796-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/15/2021
Last updated
06/23/2023
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