Most Relevant Information
Provider Data
| NPI Number: | 1003383530 |
| Provider Name: | ROSEANNE ELYSE BODIN M.A., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 106752 |
Most Important Dates
| Enumeration Date: | 11/02/2018 |
| Last Updated: | 11/02/2018 |
Provider Practice Location
4620 BELLAIRE BLVD
BELLAIRE
TX
774014231
Practice Location Phone/Fax
| Phone: | 7136653888 |
| Fax: |
Provider Mailing Location
2517 ELLA LEE LN
HOUSTON
TX
770196312
Provider Mailing Phone/Fax
| Phone: | 7133021911 |
| Fax: |