Amber Desrochers, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL008962 Issued in PA

Practice address

431 Helsel Rd
Johnstown, PA 15904-6815

Phone

(814) 659-1789

NPI assigned

May 2, 2018

Last updated

May 2, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1699264945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 HELSEL RD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159046815",
            "telephone_number": "814-659-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 HELSEL RD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159046815",
            "telephone_number": "814-659-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESROCHERS",
        "first_name": "AMBER",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL008962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Care Associates, Inc.
• Dentistry With a Touch of Art, LLC (Rawa Dental Sleep Medicine)
• Derik S. Berkebile, LCSW Outpatient Counseling Services
• Rick A. Desalvo, O.T.
• Stephanie Marie Despot, OT
• Danielle Ayers Destfino, CRNP, FNP-C
• Jenna Rachel Deutch, M.A.
• Lisa Devineni, CRNP
• Rajsekhar Devineni, MD
• Mario Deyulis, D.O.

• Speech-Language Pathologist in Johnstown, PA
• Providers in Johnstown, 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 May 2, 2018; 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.