Provider Demographics
NPI:1447732219
Name:SANDHU, JOTINDER PREET (MS CCC/SLP,CDP)
Entity type:Individual
Prefix:
First Name:JOTINDER
Middle Name:PREET
Last Name:SANDHU
Suffix:
Gender:F
Credentials:MS CCC/SLP,CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:943 LEGEND SPRING DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-3509
Mailing Address - Country:US
Mailing Address - Phone:314-374-3158
Mailing Address - Fax:281-391-0409
Practice Address - Street 1:943 LEGEND SPRING DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-3509
Practice Address - Country:US
Practice Address - Phone:314-374-3158
Practice Address - Fax:281-391-0409
Is Sole Proprietor?:No
Enumeration Date:2018-08-29
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18957235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist