Provider Demographics
NPI:1578250007
Name:NARAYANAN, SHANTHI (MS)
Entity Type:Individual
Prefix:MRS
First Name:SHANTHI
Middle Name:
Last Name:NARAYANAN
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 1:14586 SWEETAN ST
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-2426
Mailing Address - Country:US
Mailing Address - Phone:949-529-4756
Mailing Address - Fax:
Practice Address - Street 1:14586 SWEETAN ST
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-2426
Practice Address - Country:US
Practice Address - Phone:949-529-4756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP9862235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist