Rousey, Sasha Nicole

Rousey, Sasha Nicole is an sole proprietor health care provider with primary practice located at 300 Roe St , Azle TX 76020-3106. 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. Rousey, Sasha Nicole can be contacted via phone (817) 444-2851.

Contact Information

Primary practice address
300 Roe St Azle TX 76020-3106
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 117268 Texas

Profile Details

NPI number 1356063481
LBN Legal business name Rousey, Sasha Nicole
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2022
Last updated Sep 15th, 2022 - about 3 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 1356063481 NPPES
Texas MEDICAID 117268

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