Doctor Name: | MS. DARLASUE KATRICE ROACH |
NPI Number: | 1376857037 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 3803 |
Business Practice Address: | 8118b Sawyer Brown Rd Nashville, TN - 372211402 |
Business Phone Number: | 6158353119 |
Business Fax Number: | |
Mailing Address: | 8118b Sawyer Brown Rd, NASHVILLE |
State: | TN |
Postal Code: | 372211402 |
Phone Number: | 6158353119 |
Fax Number: | |
NPI Enumeration Date: | 08/04/2010 |
NPI Last Update Date: | 05/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3803 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
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 |