Doctor Name: | MRS. DIANE MARGARET ROZA |
NPI Number: | 1205981891 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED., CAGS,CCC-SLP |
License Number: | SP#1950 |
Business Practice Address: | 222 Auburn St Portland, ME - 041036002 |
Business Phone Number: | 2077978255 |
Business Fax Number: | 2077975560 |
Mailing Address: | 222 Auburn St, PORTLAND |
State: | ME |
Postal Code: | 041036002 |
Phone Number: | 2077978255 |
Fax Number: | 2077975560 |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 10/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP#1950 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
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 |