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NPI Code Detail

MEDICARE: WHITNEY ROSTIS M.S., CCC-SLP

MEDICARE:   WHITNEY  ROSTIS  M.S., CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist116861TX

General Provider Information

NPI Number : 1245843424
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY ROSTIS M.S., CCC-SLP
Provider Business Mailing Address
First Line : 6421 CAMP BOWIE BLVD STE 100
Second Line :
City : FORT WORTH
State : TX
Zip : 76116-5419
Country : US
Telephone Number : 817-353-2090
Fax Number :
Provider Business Practice Location Address
First Line : 6421 CAMP BOWIE BLVD STE 100
Second Line :
City : FORT WORTH
State : TX
Zip : 76116-5419
Country : US
Telephone Number : 817-353-2090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2020
Last Update Date : 07/25/2024

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Directions to “ WHITNEY ROSTIS M.S., CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.