Doctor Name: | SAYNARONE LOUPA INTHANAM |
NPI Number: | 1053571679 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | SA9533 |
Business Practice Address: | 18951 Sw 106th Ave, Suite 110 Miami, FL - 33157 |
Business Phone Number: | 3052334448 |
Business Fax Number: | 3058633296 |
Mailing Address: | 18951 Sw 106th Ave,, Suite 110 MIAMI |
State: | FL |
Postal Code: | 33157 |
Phone Number: | 3052334448 |
Fax Number: | |
NPI Enumeration Date: | 06/17/2008 |
NPI Last Update Date: | 09/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA9533 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |