Blessy Chacko, SPEECH-LANGUAGE PATH

Speech-Language Pathologist · Diamond Bar, CA

Individual Active NPI

NPI number 1790207074

Practice location

706 N Diamond Bar Blvd Ste B2
Diamond Bar, CA 91765-1059
Phone
(909) 396-8900
Fax
(909) 396-9900

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NPI record

NPI
1790207074
Entity type
Individual (Type 1)
Enumeration date
July 8, 2017
Last updated
July 8, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X SP23793 CA

About Blessy Chacko

Blessy Chacko, SPEECH-LANGUAGE PATH is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 706 N Diamond Bar Blvd Ste B2, Diamond Bar, CA 91765-1059. The NPI number 1790207074 was assigned on July 8, 2017 and the record was last updated on July 8, 2017.

Blessy Chacko lists a license in the registry: #SP23793 (CA) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Blessy Chacko, SPEECH-LANGUAGE PATH?

The NPI number is 1790207074.

What is the phone number of Blessy Chacko?

The phone number listed for the practice location is (909) 396-8900.

Where is Blessy Chacko located?

706 N Diamond Bar Blvd Ste B2, Diamond Bar, CA 91765-1059.

What is the taxonomy code for Blessy Chacko?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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