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Individual

ANU CHANDY CHACHIYAMMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCC SLP

Contact information

Practice address
1205 S 28TH ST, HARRISBURG, PA 17111-1046
(717) 565-7000
Mailing address
1205 S 28TH ST, HARRISBURG, PA 17111-1046
(717) 565-7000

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL014436
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SL014436
SPEECH LANGUAGE PATHOLOGIST
PA
Enumeration date
04/22/2021
Last updated
06/16/2021
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