Doctor Name: | MS. SHELLI ANN ROCHE |
NPI Number: | 1104008176 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC/SLP |
License Number: | SP00450 |
Business Practice Address: | 52 Brigham St Suite 4 New Bedford, MA - 027402210 |
Business Phone Number: | 5089912332 |
Business Fax Number: | 5089918437 |
Mailing Address: | 46 Brant Rd, PORTSMOUTH |
State: | RI |
Postal Code: | 028711802 |
Phone Number: | 4014478183 |
Fax Number: | |
NPI Enumeration Date: | 12/03/2007 |
NPI Last Update Date: | 03/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP00450 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | RI |
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 |