MR. Kiran Mysore Venkataramu, M.S., CCC SLP

NPI #1649323718 in Wilmington, California

Provider Information

NPI Number
1649323718
Entity Type
Individual
Name
MR. Kiran Mysore Venkataramu, M.S., CCC SLP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
M.S., CCC SLP
Enumeration Date
Jan 19, 2007
Last Updated
Sep 17, 2010

Practice Location

Address
1613 W PACIFIC COAST HWY
Address 2
APPT 188
ZIP Code
90744-1867
Phone
(310) 872-3601

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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