Individual
CHANTHA SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
1101 S WINCHESTER BLVD, SAN JOSE, CA 95128-3901
(408) 654-9311
Mailing address
1101 S WINCHESTER BLVD, SAN JOSE, CA 95128-3902
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
CA
Other
Enumeration date
09/07/2012
Last updated
09/19/2012
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