Doctor Name: | KATHLEEN ANN ROSE-LE |
NPI Number: | 1700872660 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | SA4698 |
Business Practice Address: | 3531 Jackson Dr Holiday, FL - 346913332 |
Business Phone Number: | 7279349953 |
Business Fax Number: | 7279439429 |
Mailing Address: | 3531 Jackson Dr, HOLIDAY |
State: | FL |
Postal Code: | 346913332 |
Phone Number: | 7279349953 |
Fax Number: | 7279439429 |
NPI Enumeration Date: | 09/26/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA4698 |
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 |