Brenna Roche, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLO15361 Issued in PA

Practice address

207 Elmwood Dr
Moscow, PA 18444-9527

Phone

(570) 862-1131

NPI assigned

Jan 24, 2022

Last updated

Jan 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1336891175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 ELMWOOD DR",
            "city": "MOSCOW",
            "state": "PA",
            "postal_code": "184449527",
            "telephone_number": "570-862-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 ELMWOOD DR",
            "city": "MOSCOW",
            "state": "PA",
            "postal_code": "184449527",
            "telephone_number": "570-862-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "BRENNA",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SLO15361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Lynn Pica, OTR/L
• Stephen A Pokowicz, DC
• Maria Riordan, MSPT
• Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 00216)
• Rocco Diana DC, P.C. (Vital Link Chiropractic)
• April Rudat, MS ED, RD, LDN
• Charles Salvo
• Keli Santaniello, RPH
• Erik R Schmidt, DC
• Gary Schommer, PTA

• Speech-Language Pathologist in Moscow, PA
• Providers in Moscow, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.