Provider Demographics
NPI:1386651727
Name:ROSSI, KAREN J (SLP)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:J
Last Name:ROSSI
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4004 MARSH AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61114-6140
Mailing Address - Country:US
Mailing Address - Phone:815-639-9045
Mailing Address - Fax:815-639-9045
Practice Address - Street 1:4004 MARSH AVE
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61114-6140
Practice Address - Country:US
Practice Address - Phone:815-639-9045
Practice Address - Fax:815-639-9045
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist