MEDICARE: SABRINA HAQUE CCC-SLP

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	122992	TX

General Provider Information

NPI Number	:	1295610244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABRINA HAQUE CCC-SLP

Provider Business Mailing Address
First Line	:	2403 GREEN ST APT 9205
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76014-4633
Country	:	US
Telephone Number	:	254-900-3302
Fax Number	:

Provider Business Practice Location Address
First Line	:	7600 LOWERY RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76120-2452
Country	:	US
Telephone Number	:	817-815-4700
Fax Number	:

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

Provider Enumeration Date	:	08/08/2025
Last Update Date	:	08/08/2025

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Directions to “ SABRINA HAQUE CCC-SLP” Practice Location

Language	Start Address	Practice Location

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