Provider Demographics
NPI:1487676367
Name:CHARI, NALLAN C (PHD)
Entity Type:Individual
Prefix:DR
First Name:NALLAN
Middle Name:C
Last Name:CHARI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-3612
Mailing Address - Country:US
Mailing Address - Phone:407-339-8998
Mailing Address - Fax:407-339-2242
Practice Address - Street 1:108 FOREST AVE
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-3612
Practice Address - Country:US
Practice Address - Phone:407-339-8998
Practice Address - Fax:407-339-2242
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY234231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist