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Deactivated NPI 1477210375 Deactivated / Inactive NPI Female Practitioner

Renad Al-Souqi , CCC-SLP

Speech-Language Pathologist • Mc Lean, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Renad Al-Souqi has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 26, 2021
NPI Deactivation Date August 31, 2022
Total Practice Duration ~1 Years of Practice (2021 – 2022)

Professional Overview & Biography Verified Profile Summary

Renad Al-Souqi, CCC-SLP was a registered Speech-Language Pathologist practicing in Mc Lean, VA. Throughout an active medical career spanning 1 years, Renad Al-Souqi provided care at the practice location at 1401 AUDMAR DR until profile deactivation on 2022-08-31.

Practice Location & Contact Primary Location

Practice Address

1401 Audmar Dr

Mc Lean, VA 221015621

Telephone 5717897052

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Mc Lean, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
24 Specialists

Practicing in Mc Lean, VA (4974 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA 30559

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 31, 2022

Record deactivated on August 31, 2022

NPI Profile Active November 30, 2021

NPI status registered as active in NPPES database

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Updated Practice Location November 30, 2021

Registered at 1401 AUDMAR DR, MC LEAN, VA 221015621 (Tel: 5717897052)

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Updated Business Mailing Address November 30, 2021

Registered at 128 SUNSET BLVD # 1007, NEW CASTLE, DE 197204100 (Tel: 5717897052)

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Provider Name / Credentials Updated November 30, 2021

Recorded as RENAD AL-SOUQI, CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2021

Speech-Language Pathologist (License #30559 in CA)

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Initial NPI Registration & Enumeration November 26, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477210375
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 26, 2021
Last Update: November 30, 2021
Deactivation Date: August 31, 2022

Mailing Address

128 Sunset Blvd # 1007

New Castle, DE 197204100

Phone: 5717897052

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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