Provider Demographics
NPI:1710112313
Name:ROGALSKI, LOIS ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:LOIS
Middle Name:ANN
Last Name:ROGALSKI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 MURRAY HILL RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-2804
Mailing Address - Country:US
Mailing Address - Phone:914-723-6721
Mailing Address - Fax:
Practice Address - Street 1:8 MURRAY HILL RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-2804
Practice Address - Country:US
Practice Address - Phone:914-723-6721
Practice Address - Fax:914-470-1830
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-27
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY80235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist