Provider Demographics
NPI:1932905593
Name:CHEGUDI, NATALYA (MS)
Entity type:Individual
Prefix:
First Name:NATALYA
Middle Name:
Last Name:CHEGUDI
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 1:6028 TRAVERSE EDGE WAY APT 203
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-9002
Mailing Address - Country:US
Mailing Address - Phone:231-409-3605
Mailing Address - Fax:
Practice Address - Street 1:6028 TRAVERSE EDGE WAY APT 203
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-9002
Practice Address - Country:US
Practice Address - Phone:231-409-3605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7101009264235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist