Individual
MRS. CHAMUNDEESWARI THIAGESWARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP TSSH
Contact information
Practice address
1028 E 179TH ST, BRONX, NY 10460-2222
(718) 842-0200
Mailing address
14424 37TH AVE APT 5M, FLUSHING, NY 11354-5911
(917) 363-5026
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
014090
NY
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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