Individual
COLLEEN ANN ROGANOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4003 VICTORIA DR, VALPARAISO, IN 46383-2092
(219) 476-0023
Mailing address
4003 VICTORIA DR, VALPARAISO, IN 46383-2092
(219) 476-0023
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22001963A
IN
Other
Enumeration date
12/18/2009
Last updated
12/18/2009
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