Provider Demographics
NPI:1730634676
Name:RAVINDRANATH, RASHMI (MSC, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:RASHMI
Middle Name:
Last Name:RAVINDRANATH
Suffix:
Gender:F
Credentials:MSC, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7820 W 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-9447
Mailing Address - Country:US
Mailing Address - Phone:509-734-9773
Mailing Address - Fax:
Practice Address - Street 1:7820 W 6TH AVE
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-9447
Practice Address - Country:US
Practice Address - Phone:509-734-9773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-21
Last Update Date:2016-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00002206235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist