Healthcare Provider Details

I. General information

NPI: 1497437669
Provider Name (Legal Business Name): RAHAF ALI SHAWAKFEH SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2023
Last Update Date: 07/22/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8001 S US HWY 75
SHERMAN TX
75090
US

IV. Provider business mailing address

6600 PLUM CREEK DRIVE APT 218
AMARILLO TX
79124
US

V. Phone/Fax

Practice location:
  • Phone: 903-532-1400
  • Fax:
Mailing address:
  • Phone: 409-525-1415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number41954
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: