Provider Demographics
NPI:1235528555
Name:VARMA, NEHA KAKKAR (MS)
Entity Type:Individual
Prefix:
First Name:NEHA
Middle Name:KAKKAR
Last Name:VARMA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2635 NEWPORT DR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-4339
Mailing Address - Country:US
Mailing Address - Phone:309-531-6504
Mailing Address - Fax:
Practice Address - Street 1:2635 NEWPORT DR
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60565-4339
Practice Address - Country:US
Practice Address - Phone:309-531-6504
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-12
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146012661235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist