Individual
CARISSA ROGNSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6834 N FRIDAY RD, BYRON, IL 61010-8821
(815) 219-9153
Mailing address
6834 N FRIDAY RD, BYRON, IL 61010-8821
(815) 219-9153
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.015958
IL
Other
Enumeration date
01/14/2021
Last updated
11/21/2023
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