Venugopal Malligere Basavaraju, SLP
NPI #1679312722 in Granada Hills, California
Provider Information
- NPI Number
- 1679312722
- Entity Type
- Individual
- Name
- Venugopal Malligere Basavaraju, SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- SLP
- Enumeration Date
- May 20, 2024
- Last Updated
- May 20, 2024
Practice Location
- Address
- 10801 LINDLEY AVE
- City
- Granada Hills
- State
- California
- ZIP Code
- 91344-4441
- Phone
- (818) 275-4700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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