Most Relevant Information
Provider Data
| NPI Number: | 1003694142 |
| Provider Name: | JANICE RODRIGUEZ CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 030723-01 |
Most Important Dates
| Enumeration Date: | 09/19/2023 |
| Last Updated: | 09/19/2023 |
Provider Practice Location
9956 63RD AVE # 1R
REGO PARK
NY
113741955
Practice Location Phone/Fax
| Phone: | 7186878905 |
| Fax: |
Provider Mailing Location
9956 63RD AVE # 1R
REGO PARK
NY
113741955
Provider Mailing Phone/Fax
| Phone: | 7186878905 |
| Fax: |