Individual
ROUCHELLE DEUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED, CCC-SLP
Contact information
Practice address
30 LINDEN AVE, MOUNT VERNON, NY 10552-3107
(646) 748-2302
Mailing address
30 LINDEN AVE, MOUNT VERNON, NY 10552-3107
(646) 748-2302
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
034254
NY
252Y00000X
Early Intervention Provider Agency
Primary
834709141
NY
Other
Enumeration date
09/10/2014
Last updated
11/21/2024
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