Doctor Name: | FELICIA ROSE BROSS |
NPI Number: | 1003155342 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | |
Business Practice Address: | 3361 36th St Se Grand Rapids, MI - 495122809 |
Business Phone Number: | 6169422522 |
Business Fax Number: | 6169563260 |
Mailing Address: | 3361 36th St Se, GRAND RAPIDS |
State: | MI |
Postal Code: | 495122809 |
Phone Number: | 6169422522 |
Fax Number: | 6169563260 |
NPI Enumeration Date: | 02/06/2013 |
NPI Last Update Date: | 11/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |