Provider Demographics
NPI:1447736467
Name:ROCCO, DARLENE (SLP)
Entity type:Individual
Prefix:
First Name:DARLENE
Middle Name:
Last Name:ROCCO
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:DARLENE
Other - Middle Name:
Other - Last Name:FONZI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:288 WHETSTONE DR
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-2161
Mailing Address - Country:US
Mailing Address - Phone:330-322-5683
Mailing Address - Fax:
Practice Address - Street 1:171 GRAHAM RD
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223-1780
Practice Address - Country:US
Practice Address - Phone:330-928-7888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-12
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP12897235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist