Provider Demographics
NPI:1588879084
Name:CHABLE, ROSE (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ROSE
Middle Name:
Last Name:CHABLE
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9073 MARY HAYNES DR.
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45458
Mailing Address - Country:US
Mailing Address - Phone:937-438-8311
Mailing Address - Fax:
Practice Address - Street 1:1 WYOMING ST
Practice Address - Street 2:MIAMI VALLEY HOSPITAL
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45409-2793
Practice Address - Country:US
Practice Address - Phone:937-208-3089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP-3731235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist