Individual
INDU VAIDYANATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4350 MAIN ST STE 217, HARRISBURG, NC 28075-7448
(704) 559-9409
Mailing address
4258 HIGHWAY 49 S UNIT 554, HARRISBURG, NC 28075-0137
(704) 559-9409
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11180
NC
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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