MEDICARE: NATHALIE MOURAD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1841137031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHALIE MOURAD

Provider Business Mailing Address
First Line	:	27364 WILSON DR
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-3698
Country	:	US
Telephone Number	:	313-421-3945
Fax Number	:

Provider Business Practice Location Address
First Line	:	27364 WILSON DR
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-3698
Country	:	US
Telephone Number	:	313-421-3945
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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Directions to “ NATHALIE MOURAD ” Practice Location

Language	Start Address	Practice Location

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