Provider Demographics
NPI:1124851746
Name:ROJAS, ANNEL MARIA (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:ANNEL
Middle Name:MARIA
Last Name:ROJAS
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2780 N CINCO MILLAS RD
Mailing Address - Street 2:
Mailing Address - City:NOGALES
Mailing Address - State:AZ
Mailing Address - Zip Code:85621-4778
Mailing Address - Country:US
Mailing Address - Phone:520-223-1980
Mailing Address - Fax:
Practice Address - Street 1:462 SAN MATEO AVE STE A
Practice Address - Street 2:
Practice Address - City:SAN BRUNO
Practice Address - State:CA
Practice Address - Zip Code:94066-4437
Practice Address - Country:US
Practice Address - Phone:415-469-4988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19754235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist