Manju Marin Chacko, CCC - SLP
NPI 1881969673ActiveIndividual· Speech-Language Pathologist· American Canyon, CA
Speech-Language Pathologist (CCC - SLP) in American Canyon, California, licensed in CA and TX, with an NPI issued in March 2012. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1881969673 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CCC - SLP |
| Sole proprietor | No |
| NPI issued | Mar 13, 2012 |
| Last updated in NPPES | May 6, 2026 |
| Certified by provider | May 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 17280 | CA |
| Speech-Language Pathologist | 235Z00000X | 103308 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (CA) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Other speech-language pathologists in American Canyon
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