Provider Demographics
NPI:1497205132
Name:NABULSI, LUBNA (MS CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:LUBNA
Middle Name:
Last Name:NABULSI
Suffix:
Gender:
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 WYNDHURST AVE STE 245C
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21210-2436
Mailing Address - Country:US
Mailing Address - Phone:443-228-3458
Mailing Address - Fax:443-292-6938
Practice Address - Street 1:600 WYNDHURST AVE STE 245C
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21210-2436
Practice Address - Country:US
Practice Address - Phone:443-228-3458
Practice Address - Fax:443-292-6938
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-05
Last Update Date:2025-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04319235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist