Provider Demographics
NPI:1508048398
Name:ROTFLEISCH, SYLVIA (CCC-A)
Entity Type:Individual
Prefix:MS
First Name:SYLVIA
Middle Name:
Last Name:ROTFLEISCH
Suffix:
Gender:F
Credentials:CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:547 N JUNE ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90004-1003
Mailing Address - Country:US
Mailing Address - Phone:323-464-3040
Mailing Address - Fax:323-465-7303
Practice Address - Street 1:547 N JUNE ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90004-1003
Practice Address - Country:US
Practice Address - Phone:323-464-3040
Practice Address - Fax:323-465-7303
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-03
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU 1494231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist