MEDICARE: DR. ANJALI RAVINDRA KANT PHD (SLP & A)

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist
2	231H00000X	Audiologist

General Provider Information

NPI Number	:	1306506845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANJALI RAVINDRA KANT PHD (SLP & A)

Provider Business Mailing Address
First Line	:	820 LENORA ST UNIT 1508
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98121-4054
Country	:	US
Telephone Number	:	425-403-6750
Fax Number	:

Provider Business Practice Location Address
First Line	:	820 LENORA ST UNIT 1508
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98121-4054
Country	:	US
Telephone Number	:	425-403-6750
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/25/2021
Last Update Date	:	12/25/2021

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Directions to “ DR. ANJALI RAVINDRA KANT PHD (SLP & A)” Practice Location

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