Doctor Name: | ROGER ANACKI |
NPI Number: | 1528420551 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S.,CCC-SLP |
License Number: | SA12569 |
Business Practice Address: | 6637 80th Ave N Pinellas Park, FL - 337812061 |
Business Phone Number: | 7272786513 |
Business Fax Number: | |
Mailing Address: | 6637 80th Ave N, PINELLAS PARK |
State: | FL |
Postal Code: | 337812061 |
Phone Number: | 7272786513 |
Fax Number: | |
NPI Enumeration Date: | 03/29/2016 |
NPI Last Update Date: | 03/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA12569 |
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 |