Doctor Name: | MS. EDNA ROIG |
NPI Number: | 1962575381 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 003615 |
Business Practice Address: | 1166 Barnum Ave Stratford, CT - 066144943 |
Business Phone Number: | 2032094065 |
Business Fax Number: | 2035405424 |
Mailing Address: | Po Box 1005, STRATFORD |
State: | CT |
Postal Code: | 066158505 |
Phone Number: | 2032094065 |
Fax Number: | 2035021071 |
NPI Enumeration Date: | 11/15/2006 |
NPI Last Update Date: | 08/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 003615 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
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 |