Provider Demographics
NPI:1205380094
Name:MYNAMPATI, AAMANI (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:AAMANI
Middle Name:
Last Name:MYNAMPATI
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1760 CALIFORNIA ST APT 1
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94041-1052
Mailing Address - Country:US
Mailing Address - Phone:805-377-5986
Mailing Address - Fax:
Practice Address - Street 1:1760 CALIFORNIA ST APT 1
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94041-1052
Practice Address - Country:US
Practice Address - Phone:805-377-5986
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-09
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist