MEDICARE: MS. SANDRA DEVI ARUNASALAM 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
1	235Z00000X	Speech-Language Pathologist	SP15436	CA

General Provider Information

NPI Number	:	1174784920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SANDRA DEVI ARUNASALAM SLP

Provider Business Mailing Address
First Line	:	9550 E FLORIDA AVE
Second Line	:	#2023
City	:	DENVER
State	:	CO
Zip	:	80247-6265
Country	:	US
Telephone Number	:	720-748-3766
Fax Number	:

Provider Business Practice Location Address
First Line	:	9550 E FLORIDA AVE
Second Line	:	#2023
City	:	DENVER
State	:	CO
Zip	:	80247-6265
Country	:	US
Telephone Number	:	619-301-9390
Fax Number	:

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

Provider Enumeration Date	:	06/24/2008
Last Update Date	:	10/04/2012

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