MEDICARE: MS. DENISE A ROGERS M.A., 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
1	235Z00000X	Speech-Language Pathologist	SP10426	OH

General Provider Information

NPI Number	:	1104915271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DENISE A ROGERS M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	5980 BREWSTER DR
Second Line	:
City	:	HUDSON
State	:	OH
Zip	:	44236-3912
Country	:	US
Telephone Number	:	234-380-5642
Fax Number	:

Provider Business Practice Location Address
First Line	:	4200 INTERCHANGE CORPORATE CENTER RD
Second Line	:
City	:	WARRENSVILLE HEIGHTS
State	:	OH
Zip	:	44128-5631
Country	:	US
Telephone Number	:	216-910-3800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	01/27/2015

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Directions to “ MS. DENISE A ROGERS M.A., CCC-SLP” Practice Location

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