Doctor Name: | MRS. DARLENE JOYCE ROSE |
NPI Number: | 1770786733 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 525154 |
Business Practice Address: | 19525 W North Avenue Wheaton Franciscan Healthcare Marian Franciscan Service Brookfield, WI - 53045 |
Business Phone Number: | 2627851114 |
Business Fax Number: | 2627803805 |
Mailing Address: | 13535 Wrayburn Rd, ELM GROVE |
State: | WI |
Postal Code: | 53122 |
Phone Number: | 2627800493 |
Fax Number: | |
NPI Enumeration Date: | 06/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 525154 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |