Provider Demographics
NPI:1619256468
Name:WEST, ROCHELLE JOYCE (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:JOYCE
Last Name:WEST
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 CHURCH ST N
Mailing Address - Street 2:SUITE 70
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-4379
Mailing Address - Country:US
Mailing Address - Phone:704-918-1343
Mailing Address - Fax:704-461-4334
Practice Address - Street 1:700 CHURCH ST N
Practice Address - Street 2:SUITE 70
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-4379
Practice Address - Country:US
Practice Address - Phone:704-918-1343
Practice Address - Fax:704-461-4334
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-10
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8191235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist