Provider Demographics
NPI:1306176714
Name:ROTSZTEJIN DE MOPS, ROMINA ANDREA (MS BILINGUAL SLP)
Entity type:Individual
Prefix:MRS
First Name:ROMINA
Middle Name:ANDREA
Last Name:ROTSZTEJIN DE MOPS
Suffix:
Gender:F
Credentials:MS BILINGUAL SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1933 WINTHROP WAY
Mailing Address - Street 2:
Mailing Address - City:MACUNGIE
Mailing Address - State:PA
Mailing Address - Zip Code:18062-8065
Mailing Address - Country:US
Mailing Address - Phone:484-221-9367
Mailing Address - Fax:
Practice Address - Street 1:1933 WINTHROP WAY
Practice Address - Street 2:
Practice Address - City:MACUNGIE
Practice Address - State:PA
Practice Address - Zip Code:18062-8065
Practice Address - Country:US
Practice Address - Phone:484-221-9367
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-06
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL009826235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist