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NPI Code Detail

MEDICARE: MRS. RANJITA JONNALAGADDA M.S., CCC-SLP

MEDICARE: MRS. RANJITA JONNALAGADDA M.S., 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 Pathologist107859TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497181804
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RANJITA JONNALAGADDA M.S., CCC-SLP
Provider Business Mailing Address
First Line : 2600 GESSNER RD STE 190
Second Line :
City : HOUSTON
State : TX
Zip : 77080-3844
Country : US
Telephone Number : 713-996-7996
Fax Number :
Provider Business Practice Location Address
First Line : 2600 GESSNER RD STE 190
Second Line :
City : HOUSTON
State : TX
Zip : 77080-3844
Country : US
Telephone Number : 713-996-7996
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2013
Last Update Date : 09/17/2013

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Directions to “ MRS. RANJITA JONNALAGADDA M.S., CCC-SLP” Practice Location

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