Doctor Name: | DR. LINDA IRIS ROSA-LUGO |
NPI Number: | 1104054899 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED.D |
License Number: | SA 3064 |
Business Practice Address: | 12424 Research Pkwy 155 Orlando, FL - 328263249 |
Business Phone Number: | 4078820468 |
Business Fax Number: | 4072494774 |
Mailing Address: | 2960 Cottage Grove Ct, ORLANDO |
State: | FL |
Postal Code: | 328224308 |
Phone Number: | 4072071192 |
Fax Number: | 4078234816 |
NPI Enumeration Date: | 07/01/2009 |
NPI Last Update Date: | 07/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 3064 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |