Individual
ROSE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-5149
Mailing address
500 SUSSEX DR, PORTSMOUTH, VA 23707-1131
(513) 260-3484
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61052600
WA
235Z00000X
Speech-Language Pathologist
SLP000654
DC
Other
Enumeration date
07/19/2013
Last updated
09/29/2020
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