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NPI Code Detail

MEDICARE: MISS MONJULA NERAVANDA APPAYA MA CCC-SLP

MEDICARE: MISS MONJULA NERAVANDA APPAYA 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 PathologistSP3237OH

General Provider Information

NPI Number : 1730423450
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MONJULA NERAVANDA APPAYA MA CCC-SLP
Provider Business Mailing Address
First Line : 1100 SHAWNEE RD
Second Line :
City : LIMA
State : OH
Zip : 45805-3583
Country : US
Telephone Number : 419-999-2010
Fax Number : 419-999-6284
Provider Business Practice Location Address
First Line : 2651 FORT AMANDA RD
Second Line :
City : LIMA
State : OH
Zip : 45804-3730
Country : US
Telephone Number : 419-228-8412
Fax Number : 419-228-8612
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2012
Last Update Date : 05/24/2021

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Directions to “ MISS MONJULA NERAVANDA APPAYA MA CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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