Sreelatha Mandadi, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

C 4939 Issued in NM

Practice address

5100 Marna Lynn Ave NW
Albuquerque, NM 87114-5701

Phone

(505) 898-0923

NPI assigned

Oct 4, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1114201530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 MARNA LYNN AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145701",
            "telephone_number": "505-898-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 MARNA LYNN AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145701",
            "telephone_number": "505-898-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDADI",
        "first_name": "SREELATHA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "C 4939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NONE ASSIGNED",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Marie Mancha
• Mary Manchester, SLP
• Annette Paulina Mancinas
• Felicia E Mancini, CNM
• Janine Mancusi, CNP
• Mandala Integrated Therapy LLC
• Soundarya Chowdary Mandava
• Mary Mandeville-Chase
• Teresa Manduchi
• Mandy'S Special Farm

• Speech-Language Pathologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.