Provider Demographics
NPI:1912173097
Name:AMY ROJAS, M.A., CCC-SLP/L, INC.
Entity Type:Organization
Organization Name:AMY ROJAS, M.A., CCC-SLP/L, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ROJAS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP/L
Authorized Official - Phone:630-664-4003
Mailing Address - Street 1:3030 FOX HILL RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-5914
Mailing Address - Country:US
Mailing Address - Phone:630-664-4003
Mailing Address - Fax:630-851-1817
Practice Address - Street 1:3030 FOX HILL RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-5914
Practice Address - Country:US
Practice Address - Phone:630-664-4003
Practice Address - Fax:630-851-1817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-07
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146007396252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency