Individual
ABHINAYA SRINIVASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 NW MAYNARD RD STE 114, CARY, NC 27513-3402
(984) 302-9770
Mailing address
106 BANCROFT BROOK DR, CARY, NC 27519-1812
(828) 263-3429
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15118
NC
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NONE
—
Enumeration date
10/09/2018
Last updated
02/03/2023
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