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NPI Code Detail

MEDICARE: CAROLINE ROSS CCC-SLP

MEDICARE: CAROLINE ROSS 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 Pathologist3961LA

General Provider Information

NPI Number : 1184756637
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINE ROSS CCC-SLP
Provider Business Mailing Address
First Line : 2966 TORRANCE DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-1554
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2966 TORRANCE DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-1554
Country : US
Telephone Number : 225-926-2561
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2007
Last Update Date : 07/08/2007

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Directions to “ CAROLINE ROSS 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.

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