Provider Demographics
NPI:1902207475
Name:ROSSI, ANNA MARIE (SLP)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIE
Last Name:ROSSI
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 COOK ST APT 601
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-2625
Mailing Address - Country:US
Mailing Address - Phone:816-812-0340
Mailing Address - Fax:
Practice Address - Street 1:1311 COOK ST APT 601
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-2625
Practice Address - Country:US
Practice Address - Phone:816-812-0340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-15
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSLP.0001846235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist