| Doctor Name: | THERESA CHANDRA RAJNATH |
| NPI Number: | 1720129828 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA |
| License Number: | 011105-1 |
| Business Practice Address: | 145 Commack Rd Commack, NY - 117253438 |
| Business Phone Number: | 6314995360 |
| Business Fax Number: | |
| Mailing Address: | 19 Swezey Ln, MIDDLE ISLAND |
| State: | NY |
| Postal Code: | 119531440 |
| Phone Number: | 6316965278 |
| Fax Number: | |
| NPI Enumeration Date: | 02/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 011105-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| 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 |