Individual
AMERIND SUGIARTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
7466 ASTER CT, PLEASANTON, CA 94588-4801
(925) 209-4880
Mailing address
7466 ASTER CT, PLEASANTON, CA 94588-4801
(925) 209-4880
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
25054
CA
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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