Provider Demographics
NPI:1043584550
Name:RODHOUSE, ANN (CCC/SLP)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:RODHOUSE
Suffix:
Gender:F
Credentials:CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 W 14TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOLDREGE
Mailing Address - State:NE
Mailing Address - Zip Code:68949-1213
Mailing Address - Country:US
Mailing Address - Phone:308-995-6585
Mailing Address - Fax:
Practice Address - Street 1:412 W 14TH AVE
Practice Address - Street 2:
Practice Address - City:HOLDREGE
Practice Address - State:NE
Practice Address - Zip Code:68949-1213
Practice Address - Country:US
Practice Address - Phone:308-995-6585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-01
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist