Provider Demographics
NPI:1699555896
Name:MUNSHI, CLARIE
Entity type:Individual
Prefix:
First Name:CLARIE
Middle Name:
Last Name:MUNSHI
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 1:415 SHEFFIELD DR
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19086-6941
Mailing Address - Country:US
Mailing Address - Phone:610-812-5187
Mailing Address - Fax:
Practice Address - Street 1:415 SHEFFIELD DR
Practice Address - Street 2:
Practice Address - City:WALLINGFORD
Practice Address - State:PA
Practice Address - Zip Code:19086-6941
Practice Address - Country:US
Practice Address - Phone:610-812-5187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEO1-0001490235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist