Provider Demographics
NPI:1033593298
Name:CHERIAN, MERLIN ELIZABETH
Entity Type:Individual
Prefix:
First Name:MERLIN
Middle Name:ELIZABETH
Last Name:CHERIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1290 KIFER RD
Mailing Address - Street 2:301
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-5322
Mailing Address - Country:US
Mailing Address - Phone:408-331-2181
Mailing Address - Fax:408-519-3457
Practice Address - Street 1:4010 MOORPARK AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95117-4101
Practice Address - Country:US
Practice Address - Phone:408-249-0770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-16
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22542235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist