Whalio Doctors

NPI 1033675616

Dianne Roosen

Practitioner Speech-Language Pathologist St Augustine, FL

Practice location

Address
2 Coleman Dr, St Augustine, FL 32084-2873
Phone
(727) 967-1036

Registered specialties

Speech-Language Pathologist Primary
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SA16247 (FL)

Registry record

NPI
1033675616
Entity type
Individual
Sex (as registered)
Female
NPI issued
19 Feb 2019
Record last updated
19 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.