De La Rosa, Shellie

De La Rosa, Shellie is an individual health care provider with primary practice located at 6513 Spring Meadow Dr , Greenacres FL 33413-3473. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. De La Rosa, Shellie can be contacted via phone (321) 217-2389.

Contact Information

Primary practice address
6513 Spring Meadow Dr Greenacres FL 33413-3473
Phone: (321) 217-2389
Fax: (561) 623-0051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA8891 Florida

Profile Details

NPI number 1932228640
LBN Legal business name De La Rosa, Shellie
Credentials M.A. CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Jan 29th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932228640 NPPES
Florida MEDICAID 892230000

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