Provider Demographics
NPI:1851577233
Name:ROSSETTI, VALERIE ROSE (AUD)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:ROSE
Last Name:ROSSETTI
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 NE 20TH TER
Mailing Address - Street 2:SUITE 305
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-4510
Mailing Address - Country:US
Mailing Address - Phone:954-343-7212
Mailing Address - Fax:954-772-3044
Practice Address - Street 1:4800 NE 20TH TER
Practice Address - Street 2:SUITE 305
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-4510
Practice Address - Country:US
Practice Address - Phone:954-343-7212
Practice Address - Fax:954-772-3044
Is Sole Proprietor?:No
Enumeration Date:2008-01-15
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1359231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL12020317OtherCAQH PROVIDER
FLCR809OtherMEDICARE PTAN
FLAY1359OtherSTATE LICENSE