Provider Demographics
NPI:1508421892
Name:SAKTHIVEL, CRISTINA (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:SAKTHIVEL
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:PSC 808 BOX 819
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AE
Mailing Address - Zip Code:09618-0009
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:81030 GRICIGNANO DI AVERSA
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:ITALY
Practice Address - Zip Code:81030
Practice Address - Country:IT
Practice Address - Phone:081-568-5547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18424235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist