Individual
MRS. CHRISTINE LORENE ROG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
17609 VENTURA BLVD, SUITE #215, ENCINO, CA 91316-3858
(818) 501-8352
(818) 501-8325
Mailing address
1629 W CHANDLER BLVD, BURBANK, CA 91506-1501
(818) 383-0899
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
6944
CA
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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