Provider Demographics
NPI:1871589549
Name:ROCUANT, KATHLEEN MARIE (AUD)
Entity type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:MARIE
Last Name:ROCUANT
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:KATHLEEN
Other - Middle Name:MARIE
Other - Last Name:KEARNEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:625 DEL PRADE BLVD #3
Mailing Address - Street 2:AUDILOGY CONSULTANTS OF SWFL
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990
Mailing Address - Country:US
Mailing Address - Phone:239-772-0940
Mailing Address - Fax:239-574-2621
Practice Address - Street 1:625 DEL PRADE BLVD #3
Practice Address - Street 2:AUDILOGY CONSULTANTS OF SWFL
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990
Practice Address - Country:US
Practice Address - Phone:239-772-0940
Practice Address - Fax:239-574-2621
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY684231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
7367714001OtherCIGNA
S1379YMedicare ID - Type Unspecified
S1379ZMedicare ID - Type Unspecified