Doctor Name: | ANA MARIA PENA ROLDAN |
NPI Number: | 1386928380 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 01-0001221 |
Business Practice Address: | 1500 Spruce Ave Ofc Red Clay Consolidated School District Wilmington, DE - 198052148 |
Business Phone Number: | 3025523797 |
Business Fax Number: | |
Mailing Address: | 1500 Spruce Ave Ofc, Red Clay Consolidated School District WILMINGTON |
State: | DE |
Postal Code: | 198052148 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/10/2011 |
NPI Last Update Date: | 10/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 01-0001221 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
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 |