Provider Demographics
NPI:1710861000
Name:HUSAIN, SHAIMA (MA SLP)
Entity type:Individual
Prefix:
First Name:SHAIMA
Middle Name:
Last Name:HUSAIN
Suffix:
Gender:F
Credentials:MA SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18513 FONTANA LN
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879-5430
Mailing Address - Country:US
Mailing Address - Phone:202-766-9229
Mailing Address - Fax:
Practice Address - Street 1:400 VICTORY FARM DR
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-3710
Practice Address - Country:US
Practice Address - Phone:240-740-6770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03176L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist