| Doctor Name: | MRS. KRUPA ELIZABETH SIDDHARTHA |
| NPI Number: | 1871815878 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | 17431 |
| License Number: | 17431 |
| Business Practice Address: | 2764 Ridgeline Dr Apt # 108 Corona, CA - 928828759 |
| Business Phone Number: | 6262831489 |
| Business Fax Number: | |
| Mailing Address: | 2764 Ridgeline Dr, Apt # 108 CORONA |
| State: | CA |
| Postal Code: | 928828759 |
| Phone Number: | 9514963587 |
| Fax Number: | 9514963587 |
| NPI Enumeration Date: | 02/18/2010 |
| NPI Last Update Date: | 01/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 17431 |
| 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 |