Provider Demographics
NPI:1609426980
Name:BIKOTI, ROSALIE J (CF- SLP)
Entity Type:Individual
Prefix:MISS
First Name:ROSALIE
Middle Name:J
Last Name:BIKOTI
Suffix:
Gender:F
Credentials:CF- SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9478 CANTERBURY RIDING
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-1412
Mailing Address - Country:US
Mailing Address - Phone:202-257-0042
Mailing Address - Fax:
Practice Address - Street 1:9478 CANTERBURY RIDING
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723-1412
Practice Address - Country:US
Practice Address - Phone:202-257-0042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-18
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01936L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist