Individual
ELLEN CROSBY ROU MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
7522 WILES RD, SUITE 207, CORAL SPRINGS, FL 33067-2062
(954) 227-8255
(954) 227-8255
Mailing address
7522 WILES RD, SUITE 207, CORAL SPRINGS, FL 33067-2062
(954) 227-8255
(954) 227-8255
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA10302
FL
235Z00000X
Speech-Language Pathologist
SLP006443
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA10302
STATE LICENSE
FL
Enumeration date
03/23/2010
Last updated
03/23/2010
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