Provider Demographics
NPI:1821148693
Name:ROCKWELL, ANNETTE LEA (SLP)
Entity Type:Individual
Prefix:MRS
First Name:ANNETTE
Middle Name:LEA
Last Name:ROCKWELL
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3971 LITTLE SAVANNAH RD
Mailing Address - Street 2:STE 132
Mailing Address - City:CULLOWHEE
Mailing Address - State:NC
Mailing Address - Zip Code:28723-5804
Mailing Address - Country:US
Mailing Address - Phone:828-227-7251
Mailing Address - Fax:
Practice Address - Street 1:3971 LITTLE SAVANNAH RD
Practice Address - Street 2:STE 132
Practice Address - City:CULLOWHEE
Practice Address - State:NC
Practice Address - Zip Code:28723-5804
Practice Address - Country:US
Practice Address - Phone:828-227-7251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP4988235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist