Provider Demographics
NPI:1073897591
Name:ROCCONI, CAROL A (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:A
Last Name:ROCCONI
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:415 CAROLINE ACRES POINT
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913
Mailing Address - Country:US
Mailing Address - Phone:501-625-2264
Mailing Address - Fax:501-623-6477
Practice Address - Street 1:4207 PARK AVE
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-9473
Practice Address - Country:US
Practice Address - Phone:501-701-1700
Practice Address - Fax:501-623-6477
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-03
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP#3071235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist