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Individual
MEYYAMMAI MUTHU
Active
Individual
MEYYAMMAI MUTHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
RPE14907
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14309485
ASHA ACCOUNT NUMBER
—
Enumeration date
07/14/2021
Last updated
07/14/2021
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