Provider Demographics
NPI:1760711592
Name:ROSSI, PATRICIA (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:
Last Name:ROSSI
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1027 DELTA LN
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-7505
Mailing Address - Country:US
Mailing Address - Phone:540-382-3288
Mailing Address - Fax:
Practice Address - Street 1:1027 DELTA LN
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-7505
Practice Address - Country:US
Practice Address - Phone:540-382-3288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-07
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202001798235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist