Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Manju Marin Chacko, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1881969673

Dr. Manju Marin Chacko, CCC-SLP is a Qualified Speech Language Pathologist in American Canyon, California. Qualified in 2022, 4 years ago. Licensed in California and Texas.

Years since qualifying
4
Licensed in
CA, TX
In the registry since
2012
Specialties on file
2
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

227 Reliant Way
American Canyon, CA 94503-3236
Phone: (626) 321-7296
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 17280 (CA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 103308 (TX)

Record details

NPI number1881969673
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedMarch 13, 2012
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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