Provider Demographics
NPI:1073203691
Name:ROJAS, MELISSA DIANE
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:DIANE
Last Name:ROJAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 SHERWOOD TER APT 3A
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-3354
Mailing Address - Country:US
Mailing Address - Phone:646-234-6544
Mailing Address - Fax:
Practice Address - Street 1:2 SHERWOOD TER APT 3A
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-3354
Practice Address - Country:US
Practice Address - Phone:646-234-6544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7734142355S0801X
174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
No174400000XOther Service ProvidersSpecialist