Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeehan Ibrahim

Individual provider Speech-Language Pathologist · NPI 1194324632

Jeehan Ibrahim is a Qualified Speech Language Pathologist in The Colony, Texas. Qualified in 2019, 7 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2020
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Practice location Address checks out

6399 Morning Star Dr Apt 207
The Colony, TX 75056-7325
Phone: (718) 813-9966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 116042 (TX)

Record details

NPI number1194324632
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 24, 2020
Last updated in NPPESOctober 24, 2020
Certification dateOctober 24, 2020
Mailing address6399 Morning Star Dr Apt 207, The Colony, TX 75056-7325

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in The Colony