VENUGOPAL MALLIGERE BASAVARAJU

GRANADA HILLS, CA
NPI1679312722
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  18729)
Enumeration Date2024-05-20
Last Update Date2024-05-20
Business Address
VENUGOPAL MALLIGERE BASAVARAJU SLP
10801 LINDLEY AVE
GRANADA HILLS, CA 91344-4441
Phone number: 818-275-4700
Mailing Address
VENUGOPAL MALLIGERE BASAVARAJU SLP
11601 TAMPA AVE UNIT 183
NORTHRIDGE, CA 91326-1404
Phone number: 818-730-6870
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