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NPI Code Detail

MEDICARE: AMY TALUKDER MA, CCC-SLP

MEDICARE:   AMY  TALUKDER  MA, CCC-SLP
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 Pathologist25688CA

General Provider Information

NPI Number : 1073886404
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY TALUKDER MA, CCC-SLP
Provider Business Mailing Address
First Line : 221 BLUE SKY DR
Second Line :
City : ARROYO GRANDE
State : CA
Zip : 93420-4908
Country : US
Telephone Number : 805-474-3000
Fax Number :
Provider Business Practice Location Address
First Line : 227 BRIDGE ST
Second Line :
City : ARROYO GRANDE
State : CA
Zip : 93420-3311
Country : US
Telephone Number : 805-474-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2012
Last Update Date : 05/27/2026

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Directions to “ AMY TALUKDER MA, CCC-SLP” Practice Location

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