Individual
MRS. DIANE MARGARET ROZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CAGS,CCC-SLP
Contact information
Practice address
222 AUBURN ST, PORTLAND, ME 04103-6002
(207) 797-8255
(207) 797-5560
Mailing address
222 AUBURN ST, PORTLAND, ME 04103-6002
(207) 797-8255
(207) 797-5560
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1950
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1228
STATE OF MASS
MA
01
—
SP#1950
STATE OF MAINE
ME
Enumeration date
01/24/2007
Last updated
10/21/2009
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