Doctor Name: | STACY ANN ROGNER |
NPI Number: | 1740498500 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC.SLP.L |
License Number: | |
Business Practice Address: | 4520 N Riverdale Dr Johnsburg, IL - 600518996 |
Business Phone Number: | 6307885736 |
Business Fax Number: | 8156796716 |
Mailing Address: | 4520 N Riverdale Dr, JOHNSBURG |
State: | IL |
Postal Code: | 600518996 |
Phone Number: | 6307885736 |
Fax Number: | 8156796716 |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 05/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |