Dr Manju Marin Chacko, CCC - SLP is a
Speech-language Pathologist based in American Canyon, California. Dr Manju Marin Chacko is licensed to practice in California (license number 17280) and her current practice location is
227 Reliant Way, American Canyon, California. She can be reached at her office (for appointments etc.) via phone at
(626) 321-7296.
NPI number for Dr Manju Marin Chacko is 1881969673 and her current mailing address is 227 Reliant Way, American Canyon, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881969673.
Healthcare Provider's Profile
| Full Name | Dr Manju Marin Chacko |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 227 Reliant Way, American Canyon, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881969673
- Provider Enumeration Date: 03/13/2012
- Last Update Date: 05/06/2026
Medical Identifiers
Medical identifiers for Dr Manju Marin Chacko such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1881969673 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | 17280 (California) | Primary |
| 235Z00000X | Speech-language Pathologist | 103308 (Texas) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Manju Marin Chacko is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Manju Marin Chacko, CCC - SLP 227 Reliant Way, American Canyon, CA 94503-3236 Ph: (626) 321-7296 | Dr Manju Marin Chacko, CCC - SLP 227 Reliant Way, American Canyon, CA 94503-3236 Ph: (626) 321-7296 |
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