KHADIJAH VICTORIA ROSE B.A SLPA NPI 1679115422

NPI Information

NPI: 1679115422
Provider Name: KHADIJAH VICTORIA ROSE, B.A SLPA
Classification: Specialist/Technologist - 2355S0801X
Entity Type: Individual

Specialization: Speech-Language Assistant

Address:
297 N BROAD ST
BROOKSVILLE, FL
ZIP 34601
Phone: (352) 796-0069
Get Directions

Khadijah Victoria Rose, B.A SLPA is a speech-language assistant specialist technologist in Brooksville, FL. Khadijah Victoria Rose, B.A SLPA NPI is 1679115422. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

297 N BROAD ST
BROOKSVILLE, FL
ZIP 34601-925
Phone: (352) 796-0069
Fax: (352) 796-9194

The enumeration date for this NPI number is 10/14/2019 and was last updated on 10/14/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2355S0801X	Specialist/Technologist	Speech-Language Assistant			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »