National Provider Identifier

Elizabeth Jeanne Roat, M.A., CCC/SLP

Elizabeth Jeanne Roat, M.A., CCC/SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Marion, NY and a listed phone number of (315) 926-4256.

NPI 1891072021Marion, NYSpeech-Language Pathologist

Profile Overview

NPI
1891072021
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
November 16, 2011
Last Updated
November 16, 2011

Practice Location

  • 3863 N Main St
  • Marion, NY 14505-9579

Phone: (315) 926-4256

Mailing Address

  • 4034 Warner RD
  • Marion, NY 14505-9328

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1891072021
Entity Type
Individual
Last Name
Roat
First Name
Elizabeth
Middle Name
Jeanne
Name Prefix
Mrs.
Credential
M.A., CCC/SLP
Mailing Street Address
4034 Warner RD
Mailing City
Marion
Mailing State
NY
Mailing ZIP Code
14505-9328
Mailing Country
US
Mailing Phone
(315) 926-2300
Mailing Fax
(315) 926-5797
Practice Street Address
3863 N Main St
Practice City
Marion
Practice State
NY
Practice ZIP Code
14505-9579
Practice Country
US
Practice Phone
(315) 926-4256
Practice Fax
(315) 926-3115
Enumeration Date
November 16, 2011
Last Updated
November 16, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)