Rae Anne M Roggow, M.S. CCC/SLP
Individual provider Active NPI Speech-Language Pathologist · Sanborn, NY
NPI 1235413402 · NPPES record last updated Oct 5, 2011
Key facts
- NPI
- 1235413402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 015589 (NY)
- Practice address
- 2292 Saunders Settlement Rd
Sanborn, NY 14132-9521 - Phone
- (716) 215-3150
- NPI assigned
- Oct 5, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015589 | NY | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 015589 | NY | Yes |
Addresses
Primary practice location
2292 Saunders Settlement Rd
Sanborn, NY 14132-9521
Mailing address
3846 Fritz Rd
North Tonawanda, NY 14120-1393
Phone (716) 692-1737
Other providers in Sanborn, NY
- Brian D Rambarran
- Elizabeth Elaine Reed
- Judy Ringler
- Samantha Ringler
- Olivia Rizzacasa
- Diane Louise Roth
- Michele Carroll Rotunno
- Destiny Allure Rust
- John Michael Rutkowski
- Gukan Sakthivel
All providers in Sanborn, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.