Doctor Name: | MUKESH TYAGI |
NPI Number: | 1396905261 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS CCC-SLP |
License Number: | SP 15133 |
Business Practice Address: | 920 W La Veta Ave Orange, CA - 928684302 |
Business Phone Number: | 7146333568 |
Business Fax Number: | |
Mailing Address: | 920 W La Veta Ave, ORANGE |
State: | CA |
Postal Code: | 928684302 |
Phone Number: | 7146333568 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2008 |
NPI Last Update Date: | 06/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP 15133 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |