Suresha Basavanayak, MSCCC-SLP
Suresha Basavanayak, MSCCC-SLP is a Speech-Language Pathologist in Rancho Cucamonga, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
7440 Hyssop DrRancho Cucamonga, CA 91739-9740
Phone: (909) 481-0277
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Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 13911 (CA) |
|---|
Record details
| NPI number | 1114126414 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MSCCC-SLP |
| Sole proprietor | Yes |
| NPI enumerated | July 16, 2007 |
| Last updated in NPPES | July 16, 2007 |
| Mailing address | 7440 Hyssop Dr, Rancho Cucamonga, CA 91739-9740 |
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