Doctor Name: | MRS. ASHLEY ROLL |
NPI Number: | 1194046706 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | SA 10434 |
Business Practice Address: | 933 Lee Rd Suite 101 Orlando, FL - 328105551 |
Business Phone Number: | 4077306988 |
Business Fax Number: | 4077306995 |
Mailing Address: | 933 Lee Rd, Suite 101 ORLANDO |
State: | FL |
Postal Code: | 328105551 |
Phone Number: | 4077306988 |
Fax Number: | 4077306995 |
NPI Enumeration Date: | 06/17/2010 |
NPI Last Update Date: | 03/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 10434 |
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 |