Healthcare Provider Details

I. General information

NPI: 1487588109
Provider Name (Legal Business Name): MARIAM M ALOBOODY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7047 HAMILTON MASON RD
WEST CHESTER OH
45069-1424
US

IV. Provider business mailing address

6615 ASHE KNL
HAMILTON OH
45011-8454
US

V. Phone/Fax

Practice location:
  • Phone: 513-775-0887
  • Fax:
Mailing address:
  • Phone: 513-999-7054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberCOND.20263485-SP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: