Doctor Name: | MR. GANESHA G PERUMAL |
NPI Number: | 1023218633 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS SLP-CCC |
License Number: | 41YS00349400 |
Business Practice Address: | 412 Pebble Creek Ct Pennington, NJ - 085341945 |
Business Phone Number: | 6097371345 |
Business Fax Number: | |
Mailing Address: | 412 Pebble Creek Ct, PENNINGTON |
State: | NJ |
Postal Code: | 085341945 |
Phone Number: | 6097371345 |
Fax Number: | |
NPI Enumeration Date: | 07/21/2007 |
NPI Last Update Date: | 07/21/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00349400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |