Provider Demographics
NPI:1437447323
Name:KAHANDAL, RITIKA RAVIJIT (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:RITIKA
Middle Name:RAVIJIT
Last Name:KAHANDAL
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 1:1717 VIA PALOMARES
Mailing Address - Street 2:
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-4235
Mailing Address - Country:US
Mailing Address - Phone:909-664-4946
Mailing Address - Fax:
Practice Address - Street 1:1717 VIA PALOMARES
Practice Address - Street 2:
Practice Address - City:SAN DIMAS
Practice Address - State:CA
Practice Address - Zip Code:91773-4235
Practice Address - Country:US
Practice Address - Phone:909-664-4946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-13
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00571900235Z00000X
CASP15484235Z00000X
NY017076-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist