Provider Demographics
NPI:1952486300
Name:ROCCO, KAREN E (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:E
Last Name:ROCCO
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 1:16 EVERGREEN DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-2797
Mailing Address - Country:US
Mailing Address - Phone:508-346-3185
Mailing Address - Fax:
Practice Address - Street 1:16 EVERGREEN DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-2797
Practice Address - Country:US
Practice Address - Phone:508-346-3185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4797235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAB501027OtherCIGNA
MASP0086OtherBLUE CROSS
MA0023713OtherNEIGHBORHOOD HEALTH PLAN
MA0329924Medicaid