Provider Demographics
NPI:1043503899
Name:CHESHIER, ROSALIA IRENE (MA SLP)
Entity Type:Individual
Prefix:
First Name:ROSALIA
Middle Name:IRENE
Last Name:CHESHIER
Suffix:
Gender:F
Credentials:MA SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1435 PALMNOLD CIR E
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76120-4705
Mailing Address - Country:US
Mailing Address - Phone:316-208-5150
Mailing Address - Fax:
Practice Address - Street 1:265 RED RIVER TRL
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-4520
Practice Address - Country:US
Practice Address - Phone:972-968-2125
Practice Address - Fax:972-968-2110
Is Sole Proprietor?:No
Enumeration Date:2011-05-25
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA72072355S0801X
235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant