Provider Demographics
NPI:1942404082
Name:ROZZI, KATHLEEN MARIE (MA CCC SLP)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:MARIE
Last Name:ROZZI
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 1:3410 W PITTSBURG RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101-5970
Mailing Address - Country:US
Mailing Address - Phone:724-651-4328
Mailing Address - Fax:724-658-4885
Practice Address - Street 1:3410 W PITTSBURG RD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-5970
Practice Address - Country:US
Practice Address - Phone:724-651-4328
Practice Address - Fax:724-658-4885
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL 003541L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASL 003541LOtherSTATE LICENSE
PA0018678860003OtherMA PROVIDER NUMBER