Theophano Lykos Rozan, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA9405 Issued in AZ

Practice address

3205 S Rural Rd
Tempe, AZ 85282-3853

Phone

(480) 280-7419

NPI assigned

Jun 12, 2015

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

Other names 1

• Theophano Athanassiou Lykos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1811378045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 S RURAL RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823853",
            "telephone_number": "480-280-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 S RURAL RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823853",
            "telephone_number": "480-280-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZAN",
        "first_name": "THEOPHANO",
        "middle_name": "LYKOS",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA9405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THEOPHANO",
            "last_name": "LYKOS",
            "middle_name": "ATHANASSIOU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• George Roy, M.D.
• Steve Curtis Roy, LPC
• Royal Keys Transport Nemt LLC
• Roger Ryan Roybal, DDS
• Terrianne Roza, M.C., L.P.C.
• Spencer Ruben, DO
• Anthony Leo Rubin, MA
• Mark Leslie Rubin, M.D.
• Kiana Rose Ruch, ND
• Thomas Ruderstaller, LPC

• Speech-Language Assistant in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.