Provider Demographics
NPI:1609517614
Name:SINGH, MANPREET K
Entity Type:Individual
Prefix:
First Name:MANPREET
Middle Name:K
Last Name:SINGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2818 E BERRY LOOP PRIVADO UNIT 76
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761-3011
Mailing Address - Country:US
Mailing Address - Phone:909-827-0011
Mailing Address - Fax:
Practice Address - Street 1:2818 E BERRY LOOP PRIVADO UNIT 76
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91761-3011
Practice Address - Country:US
Practice Address - Phone:909-827-0011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28557235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA14277616OtherASHA