Doctor Name: | MS. BETSY DE LA ROSA |
NPI Number: | 1386011765 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CFY-SLP |
License Number: | 9560 |
Business Practice Address: | 2450 Riverside Ave Minneapolis, MN - 554541450 |
Business Phone Number: | 6122738499 |
Business Fax Number: | 6122738490 |
Mailing Address: | 1913 Franklin Ave Se, MINNEAPOLIS |
State: | MN |
Postal Code: | 554143614 |
Phone Number: | 6127591987 |
Fax Number: | |
NPI Enumeration Date: | 09/01/2015 |
NPI Last Update Date: | 09/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 9560 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |