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Suresha Basavanayak, MSCCC-SLP
Speech-Language Pathologist in Rancho Cucamonga, California
NPI 1114126414

Suresha Basavanayak is a Speech-Language Pathologist based in Rancho Cucamonga, CA. Suresha Basavanayak practices in Rancho Cucamonga, CA and has the professional credentials of MSCCC-SLP. The NPI Number for Suresha Basavanayak is 1114126414 and holds a License No. 13911 (California).

The current practice location address for Suresha Basavanayak is 7440 Hyssop Dr, Rancho Cucamonga, CA and can be reached out via phone at 909-481-0277.

Location: 7440 Hyssop Dr, Rancho Cucamonga, CA, 91739-9740
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114126414
Provider Name
Suresha Basavanayak
Credential
MSCCC-SLP
Provider Entity Type
Individual
Gender
Male
Address
7440 Hyssop Dr, Rancho Cucamonga, CA, 91739-9740
Phone Number
909-481-0277
Fax Number
Provider Enumeration Date
07/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13911 01 CA LICENCING BOARD
institution
Provider Business Practice Location Address Details
Address
7440 Hyssop Dr
City
Rancho Cucamonga
State
California
Zip
91739-9740
Phone Number
909-481-0277
Fax Number
person
Provider Business Mailing Address Details
Address
7440 Hyssop Dr
City
Rancho Cucamonga
State
California
Zip
91739-9740
Phone Number
909-481-0277
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Speech-Language Pathologist
Speciality
-
Taxonomy
235Z00000X
License No.
13911 (California)
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
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