Most Relevant Information
Provider Data
| NPI Number: | 1003291899 |
| Provider Name: | LIANA MEHAWEJ CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/22/2015 |
| Last Updated: | 07/22/2015 |
Provider Practice Location
4010 MOORPARK AVE
SUITE 117
SAN JOSE
CA
951174101
Practice Location Phone/Fax
| Phone: | 4082490770 |
| Fax: |
Provider Mailing Location
4010 MOORPARK AVE
SUITE 117
SAN JOSE
CA
951174101
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |