Individual
MS. ROSHANI JAYASEKARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2100 E PROVINCIAL HOUSE DR, LANSING, MI 48910-4884
(517) 272-4029
Mailing address
1065 BIRCHDALE DR, MILTON, GA 30004-3464
(510) 909-1965
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
16476
CA
235Z00000X
Speech-Language Pathologist
L2546701
MI
235Z00000X
Speech-Language Pathologist
Primary
SLP012852
GA
Other
Enumeration date
06/16/2008
Last updated
08/05/2024
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