Doctor Name: | MRS. ARCHANA GURUPRASAD |
NPI Number: | 1356494421 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC SLP |
License Number: | |
Business Practice Address: | 1600 W 12th St Appt 1121 Yuma, AZ - 853643694 |
Business Phone Number: | 9287834331 |
Business Fax Number: | 9287834331 |
Mailing Address: | 1600 W 12th St, Appt 1121 YUMA |
State: | AZ |
Postal Code: | 853643694 |
Phone Number: | 9287834331 |
Fax Number: | 9287834331 |
NPI Enumeration Date: | 01/19/2007 |
NPI Last Update Date: | 11/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
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 |