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Individual

ALISHA DESAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
633 W 5TH ST OFC 2876B, LOS ANGELES, CA 90071-2005
(512) 399-0064
Mailing address
809 AUZERAIS AVE UNIT 358, SAN JOSE, CA 95126-3550
(973) 647-5893

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
28359
CA
235Z00000X
Speech-Language Pathologist
Primary
41YS00855800
NJ
235Z00000X
Speech-Language Pathologist
5872
TN

Other

Enumeration date
06/11/2020
Last updated
05/07/2024
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