Individual
NANDINI MALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
200 S 8TH AVE E, NEWTON, IA 50208-4762
(641) 792-7440
Mailing address
100 35TH ST, DES MOINES, IA 50312-4509
(972) 207-1578
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
073364
IA
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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