| Doctor Name: | ANDREA C ROSALES |
| NPI Number: | 1194011767 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, CCC-SLP |
| License Number: | 2202006358 |
| Business Practice Address: | 1604 Spring Hill Rd Fl 3 Vienna, VA - 221827510 |
| Business Phone Number: | 7035468594 |
| Business Fax Number: | 2126797868 |
| Mailing Address: | 950 25th St Nw Apt 815n, WASHINGTON |
| State: | DC |
| Postal Code: | 200372176 |
| Phone Number: | 3055826251 |
| Fax Number: | |
| NPI Enumeration Date: | 06/22/2011 |
| NPI Last Update Date: | 06/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2202006358 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| 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 |