Doctor Name: | BROOKE ROTHERMEL |
NPI Number: | 1538232111 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | LL00004320 |
Business Practice Address: | 2554 Locust Ave W Ste E University Place, WA - 984663561 |
Business Phone Number: | 2537229714 |
Business Fax Number: | 8668530747 |
Mailing Address: | 7723 Phillips Rd Sw, LAKEWOOD |
State: | WA |
Postal Code: | 984986362 |
Phone Number: | 2537229712 |
Fax Number: | 8668530747 |
NPI Enumeration Date: | 11/15/2006 |
NPI Last Update Date: | 01/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL00004320 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |