Provider Demographics
NPI:1093119414
Name:ROSZYK, KAREN (SLA-A)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:ROSZYK
Suffix:
Gender:F
Credentials:SLA-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16785 BEAR VALLEY RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92345-0825
Mailing Address - Country:US
Mailing Address - Phone:760-782-8884
Mailing Address - Fax:866-496-0434
Practice Address - Street 1:16785 BEAR VALLEY RD
Practice Address - Street 2:SUITE 2
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-0825
Practice Address - Country:US
Practice Address - Phone:760-782-8884
Practice Address - Fax:866-496-0434
Is Sole Proprietor?:No
Enumeration Date:2014-10-14
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3172355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant