Doctor Name: | JONI ROGERS |
NPI Number: | 1174846497 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED |
License Number: | 104296 |
Business Practice Address: | 3500 Oakmont Blvd Suite 102 Austin, TX - 787316009 |
Business Phone Number: | 5123469988 |
Business Fax Number: | |
Mailing Address: | Po Box 4854, AUSTIN |
State: | TX |
Postal Code: | 787654854 |
Phone Number: | 5129619936 |
Fax Number: | |
NPI Enumeration Date: | 03/02/2010 |
NPI Last Update Date: | 03/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 104296 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |