Individual
CHANDRANI BOSE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
1011 ROSEMEADOW DR, HOUSTON, TX 77094-2917
(847) 971-7930
Mailing address
1011 ROSEMEADOW DR, HOUSTON, TX 77094-2917
(847) 971-7930
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
107406
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103034
—
IL
Enumeration date
03/16/2007
Last updated
12/29/2011
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