Doctor Name: | ADRIENNE ROCK |
NPI Number: | 1689846313 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC/SLP |
License Number: | LL00003727 |
Business Practice Address: | 22443 Se 240th St B101 Maple Valley, WA - 98038 |
Business Phone Number: | 4253587160 |
Business Fax Number: | 4253587159 |
Mailing Address: | 22443 Se 240th St, B101 MAPLE VALLEY |
State: | WA |
Postal Code: | 98038 |
Phone Number: | 4253587160 |
Fax Number: | 4253587159 |
NPI Enumeration Date: | 04/02/2008 |
NPI Last Update Date: | 08/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL00003727 |
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 |