Provider Demographics
NPI:1215135637
Name:RODRIGUEZ, NORMIE (SLP)
Entity type:Individual
Prefix:MS
First Name:NORMIE
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MRS
Other - First Name:NORMIE
Other - Middle Name:
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:4792 N VIA ENTRADA
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-5840
Mailing Address - Country:US
Mailing Address - Phone:520-481-0565
Mailing Address - Fax:520-638-5099
Practice Address - Street 1:4792 N VIA ENTRADA
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-5840
Practice Address - Country:US
Practice Address - Phone:520-481-0565
Practice Address - Fax:520-638-5099
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP1387235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ370354Medicaid