Individual provider · Type 1 NPI

Suresha Basavanayak, MS CCC-SLP

Speech-Language Pathologist · Rancho Cucamonga, CA

NPI number 1114126414 Active

Practice location

7440 Hyssop Dr
Rancho Cucamonga, CA 91739-9740

Call (909) 481-0277 Map

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X13911 (CA)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1114126414

Suresha Basavanayak, MS CCC-SLP's National Provider Identifier is 1114126414, issued on Jul 16, 2007. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Jul 16, 2007.