Taylor Weaver-Rosamilia, CCC-SLP
Speech-Language Pathologist, in Lafayette, IN. Individual provider (NPI-1).
NPI number1104587799
StatusActive
Last updated in NPPESJan 5, 2022
Details
- NPI
- 1104587799
- Entity type
- Individual (NPI-1)
- Name
- Taylor Weaver-Rosamilia
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 5, 2022
- Certification date
- Jan 5, 2022
- Last updated
- Jan 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
3700 Rome DrLafayette, IN 47905-4489
Phone 765-448-4220
Mailing address
4939 N 500 ELafayette, IN 47905-9709
Phone 567-674-9450
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