Individual
ROCHELLE ELIZABETH LOOMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
7767 ELM CREEK BLVD N, SUITE 100, MAPLE GROVE, MN 55369-7041
(763) 416-8715
Mailing address
9573 ALVARADO LN N, MAPLE GROVE, MN 55311-1151
(612) 719-5318
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
8240
MN
235Z00000X
Speech-Language Pathologist
Primary
SLP009297
GA
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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