Provider Demographics
NPI:1053625806
Name:MOHAMMED, SHERNAUZA (MS-SLP)
Entity type:Individual
Prefix:
First Name:SHERNAUZA
Middle Name:
Last Name:MOHAMMED
Suffix:
Gender:F
Credentials:MS-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12091 NW 2ND DR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-8012
Mailing Address - Country:US
Mailing Address - Phone:305-281-5658
Mailing Address - Fax:
Practice Address - Street 1:12091 NW 2ND DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-8012
Practice Address - Country:US
Practice Address - Phone:305-281-5658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-04
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA12529235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist