Doctor Name: | ROSALYN ANN VERMEULEN |
NPI Number: | 1639407364 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP-L |
License Number: | 8553 |
Business Practice Address: | 14337 Hunter Drive Burson, CA - 952250261 |
Business Phone Number: | 2097722112 |
Business Fax Number: | 2097722112 |
Mailing Address: | Po Box 261, 14337 Hunter Drive BURSON |
State: | CA |
Postal Code: | 952250261 |
Phone Number: | 2097722112 |
Fax Number: | 2097722112 |
NPI Enumeration Date: | 11/18/2009 |
NPI Last Update Date: | 11/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 8553 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |