| Doctor Name: | TARA L ROSE |
| NPI Number: | 1386607885 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, CCC-SLP |
| License Number: | 12026158 |
| Business Practice Address: | 6107 Soaring Dr Colorado Springs, CO - 809186120 |
| Business Phone Number: | 7196595856 |
| Business Fax Number: | 7192195691 |
| Mailing Address: | 6107 Soaring Dr, COLORADO SPRINGS |
| State: | CO |
| Postal Code: | 809186120 |
| Phone Number: | 7196595856 |
| Fax Number: | 7192195691 |
| NPI Enumeration Date: | 04/07/2006 |
| NPI Last Update Date: | 04/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 12026158 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| 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 |