Individual
MRS. SIVANANDHINI MUTHIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCCSLP
Contact information
Practice address
443 MANHATTAN ST, NEW HOPE CENTER INC, CHILTON, WI 53014
(920) 849-9351
(920) 849-7792
Mailing address
3010 E CARDINAL PLACE, APPLETON, WI 54915
(920) 749-0461
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1864154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42786300
—
WI
Enumeration date
01/24/2007
Last updated
07/08/2007
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