Individual
PRADYUMN SRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, CCC-SLP
Contact information
Practice address
1664 N VIRGINIA ST, MS-0152, RENO, NV 89557-0152
(775) 784-4887
(775) 784-4095
Mailing address
1155 MILL ST, MS M-14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-8020
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-2005
NV
Other
Enumeration date
05/22/2015
Last updated
02/07/2025
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