Doctor Name: | ROSA TRAINER |
NPI Number: | 1366566283 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | SA1611 |
Business Practice Address: | 1230 S Old Dixie Hwy The Pavilion At Jupiter Medical Center Jupiter, FL - 334587205 |
Business Phone Number: | 5617444444 |
Business Fax Number: | 5617484125 |
Mailing Address: | 18906 N Golden Hawk Trl, JUPITER |
State: | FL |
Postal Code: | 334582428 |
Phone Number: | 5617471623 |
Fax Number: | |
NPI Enumeration Date: | 03/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA1611 |
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 |