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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SURESHA BASAVANAYAK, MS CCC-SLP

Active Sole Proprietor

SURESHA BASAVANAYAK, MS CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in RANCHO CUCAMONGA, California. NPI 1114126414 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · RANCHO CUCAMONGA, CA

Registration Details

NPI Number
1114126414
Provider Type
Individual
Gender
Male
NPI Issued
Jul 16, 2007 (19.039054845632 yrs)
Last Updated
Jul 16, 2007
License
13911 (CA)
Sole Proprietor
Yes

Practice Information

Address
7440 HYSSOP DR
RANCHO CUCAMONGA, CA, 917399740
Browse CA providers · Browse ZIP 91739
Phone
9094810277
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in RANCHO CUCAMONGA, CA

Name Credential NPI
MRS. RACHEL MICHELLE LYNCH SPEECH THERAPIST 1821029695
MRS. MELISSA ANN CLARK MCD, CCC-SLP 1760546428
MRS. LESLIE CAROLYN FRASER MS CCC 1326255332
MISS GRACE HUELGAS CAPUL SPEECH THERAPIST 1205035649
MRS. DENISE JAMES TEMPLETON SLP 1245422914
MISS CONNIE CHIA-YING TONG M.S. 1295928976
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.