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NPI Code Detail

MEDICARE: MRS. MAYA HARIKRISHNAN NAMBOODIRI MS CCCSLP

MEDICARE: MRS. MAYA HARIKRISHNAN NAMBOODIRI MS CCCSLP
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
1235Z00000XSpeech-Language Pathologist17488TX

General Provider Information

NPI Number : 1043469315
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MAYA HARIKRISHNAN NAMBOODIRI MS CCCSLP
Provider Business Mailing Address
First Line : 1011 W FRONTAGE RD # SPAJ
Second Line :
City : ALAMO
State : TX
Zip : 78516-2300
Country : US
Telephone Number : 956-787-6777
Fax Number : 956-787-6778
Provider Business Practice Location Address
First Line : 1011 W FRONTAGE RD # SPAJ
Second Line :
City : ALAMO
State : TX
Zip : 78516-2300
Country : US
Telephone Number : 956-787-6777
Fax Number : 956-787-6778
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2008
Last Update Date : 09/14/2011

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Directions to “ MRS. MAYA HARIKRISHNAN NAMBOODIRI MS CCCSLP” Practice Location

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