Doctor Name: | MS. AMY LOVE ROLAND |
NPI Number: | 1184871824 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | 22004328A |
Business Practice Address: | 316 Woodies Ln Bremen, IN - 465061354 |
Business Phone Number: | 5745463494 |
Business Fax Number: | 5745463199 |
Mailing Address: | 1315 Belmont Ave, SOUTH BEND |
State: | IN |
Postal Code: | 466151105 |
Phone Number: | 5745323051 |
Fax Number: | |
NPI Enumeration Date: | 08/25/2008 |
NPI Last Update Date: | 08/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22004328A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |