Doctor Name: | AMY ROSENBAUM |
NPI Number: | 1093116832 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 9365 |
Business Practice Address: | 825 1st Ave Nw New Brighton, MN - 551126846 |
Business Phone Number: | 6516337875 |
Business Fax Number: | |
Mailing Address: | 24053 305th St, NORA SPRINGS |
State: | IA |
Postal Code: | 504588774 |
Phone Number: | 6414253404 |
Fax Number: | |
NPI Enumeration Date: | 09/11/2014 |
NPI Last Update Date: | 09/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 9365 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |