MEDICARE: ROSHONDA NICOLE EPPS MS 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	11303	NC
2	235Z00000X	Speech-Language Pathologist	8434	SC
3	235Z00000X	Speech-Language Pathologist	SLP008819	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538219597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSHONDA NICOLE EPPS MS CCC-SLP

Provider Business Mailing Address
First Line	:	9723 NORTHCROSS CENTER CT STE D
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-7301
Country	:	US
Telephone Number	:	704-268-9658
Fax Number	:

Provider Business Practice Location Address
First Line	:	9723 NORTHCROSS CENTER CT STE D
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-7301
Country	:	US
Telephone Number	:	704-268-9658
Fax Number	:

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

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	06/01/2026

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