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Individual

RASIKA M MOHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
633 MIDDLESEX TPKE, OLD SAYBROOK, CT 06475-1220
(860) 388-8300
Mailing address
22 SILO HL, MADISON, CT 06443-8207
(774) 444-3666

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
007629
CT
235Z00000X
Speech-Language Pathologist
Primary
76801
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007629
CONNECTICUT DPH LICENSE
CT
01
069943267
DRIVERS LICENSE
CT
01
S68266703
DRIVERS LICENSE
MA
Enumeration date
06/26/2018
Last updated
04/28/2026
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