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NPI Code Detail

MEDICARE: MRS. REBECCA ELISA ROSADO-WOOLFE M.A., CCC-SLP

MEDICARE:  MRS. REBECCA ELISA ROSADO-WOOLFE  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
1235Z00000XSpeech-Language PathologistSA 9720FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
112130977OTHERAMERICA SPEECH-LANGUAGE HEARING ASSOCIATION CERTIFICATE OF CLINICAL COMPETENCE
2SA 9720OTHERFLBOARD OF SPEECH LANGUAGE PATHOLOGY AND AUDIOLOGY

General Provider Information

NPI Number : 1619114204
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. REBECCA ELISA ROSADO-WOOLFE M.A., CCC-SLP
Provider Business Mailing Address
First Line : PO BOX 33461
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33420-3461
Country : US
Telephone Number : 561-254-9277
Fax Number : 615-704-3033
Provider Business Practice Location Address
First Line : 710 DUCHESS CT
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33410-1554
Country : US
Telephone Number : 561-254-9277
Fax Number : 615-704-3033
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2009
Last Update Date : 01/19/2009

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Directions to “ MRS. REBECCA ELISA ROSADO-WOOLFE M.A., CCC-SLP” Practice Location

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