PRIYA SUDARSANAM

GALLUP, NM
NPI1598014003
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NM  4569)
Enumeration Date2012-08-30
Last Update Date2012-08-30
Business Address
Ms. PRIYA SUDARSANAM MS, CCC-SLP
205 CACTUS RD
GALLUP, NM 87301-5774
Phone number: 646-942-8759
Mailing Address
Ms. PRIYA SUDARSANAM MS, CCC-SLP
PO BOX 4625
GALLUP, NM 87305-4625
Phone number: 646-942-8759