Individual
MRS. ROSANNE DEMATTIA PASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-C
Contact information
Practice address
4567 E 9TH AVE, DENVER, CO 80220-3908
(303) 320-2818
(303) 320-7117
Mailing address
4567 E 9TH AVE, ATTN ROSE INPATIENT REHAB, DENVER, CO 80220-3908
(303) 320-2818
(303) 320-7117
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0108759202
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066615
MEDICARE GROUP #
CO
05
—
63934051
—
CO
01
—
86723251
MEDICAID GROUP PRACTICE #
CO
Enumeration date
11/15/2005
Last updated
05/21/2008
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