Susan Bahadori, MA, CCC-SLP
Speech-Language Pathologist, in South Portland, Maine
1013451475- Practice location
- 341 Highland Ave # 1, South Portland, ME 04106-4510
- Phone
- 301-802-8342
- Fax
- —
- Last updated
- December 5, 2016
Susan Bahadori is a Speech-Language Pathologist, based in South Portland, ME. Susan Bahadori practices in South Portland, ME and has the professional credentials of MA, CCC-SLP. The NPI Number for Susan Bahadori is 1013451475 and holds a License No. SP2317 (ME). The current practice location address for Susan Bahadori is 341 Highland Ave # 1, South Portland, ME 04106-4510 and can be reached out via phone at 301-802-8342.
Provider Profile Details
- NPI Number
- 1013451475
- Provider Name
- Susan Bahadori
- Credential
- MA, CCC-SLP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 341 Highland Ave # 1, South Portland, ME 04106-4510
- Phone Number
- 301-802-8342
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 5, 2016
- Last Update Date
- December 5, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 341 Highland Ave # 1
South Portland, ME 04106-4510 - City
- South Portland
- State
- Maine
- Zip
- 04106-4510
- Phone Number
- 301-802-8342
Provider Business Mailing Address Details
- Address
- 341 Highland Ave # 1
South Portland, ME 04106-4510 - City
- South Portland
- State
- ME
- Zip
- 04106-4510
- Phone Number
- 301-802-8342
License Information
- License Number
- SP2317
- License State
- ME
- Taxonomy
- Speech-Language Pathologist, · 235Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Speech-Language Pathologist, providers near South Portland, ME
View all Speech-Language Pathologist, providers in South Portland →Frequently Asked Questions
What is the NPI number of Susan Bahadori, MA, CCC-SLP?
The NPI number of Susan Bahadori, MA, CCC-SLP is 1013451475. It was assigned on December 5, 2016 and is currently active in the NPPES registry.
What is the specialty of Susan Bahadori, MA, CCC-SLP?
Susan Bahadori, MA, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in ME under license number SP2317.
Where does Susan Bahadori, MA, CCC-SLP practice?
The practice location is 341 Highland Ave # 1, South Portland, ME 04106-4510. The office can be reached at 301-802-8342 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013451475 directly on the NPPES registry website.