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NPI Code Detail

MEDICARE: MS. SONITA PERSAUD M.S., CCC-SLP

MEDICARE:  MS. SONITA  PERSAUD  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 PathologistSP15737CA

General Provider Information

NPI Number : 1518591700
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SONITA PERSAUD M.S., CCC-SLP
Provider Business Mailing Address
First Line : 12144 CARSON ST STE DG
Second Line :
City : HAWAIIAN GARDENS
State : CA
Zip : 90716-1168
Country : US
Telephone Number : 714-585-6651
Fax Number :
Provider Business Practice Location Address
First Line : 12144 CARSON ST STE DG
Second Line :
City : HAWAIIAN GARDENS
State : CA
Zip : 90716-1168
Country : US
Telephone Number : 714-585-6651
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2020
Last Update Date : 12/26/2024

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Directions to “ MS. SONITA PERSAUD M.S., CCC-SLP” Practice Location

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