Doctor Name: | GRACIELA ROBERTI |
NPI Number: | 1235254822 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSSLP |
License Number: | 6962 |
Business Practice Address: | 103 Summerglow Ct Cary, NC - 275138308 |
Business Phone Number: | 9196215770 |
Business Fax Number: | 9193426443 |
Mailing Address: | 103 Summerglow Ct, CARY |
State: | NC |
Postal Code: | 275138308 |
Phone Number: | 9196215770 |
Fax Number: | 9193426443 |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 10/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 6962 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |