Provider Demographics
NPI:1861562795
Name:ROGERS, ANETTE PISCOPO (MS CCC SLP)
Entity type:Individual
Prefix:MS
First Name:ANETTE
Middle Name:PISCOPO
Last Name:ROGERS
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:593 EDDY ST
Mailing Address - Street 2:SUITE 1.001 CORO CENTER
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4923
Mailing Address - Country:US
Mailing Address - Phone:401-444-4053
Mailing Address - Fax:401-444-6212
Practice Address - Street 1:593 EDDY ST
Practice Address - Street 2:SUITE 1.001 CORO CENTER
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4923
Practice Address - Country:US
Practice Address - Phone:401-444-4053
Practice Address - Fax:401-444-6212
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RISP00129235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist