Doctor Name: | STACEY ROSENBERGER |
NPI Number: | 1295110161 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 3154 Nw 61st St Boca Raton, FL - 334963365 |
Business Phone Number: | 5619946590 |
Business Fax Number: | 5619946690 |
Mailing Address: | 3935 Coral Springs Dr, CORAL SPRINGS |
State: | FL |
Postal Code: | 330652393 |
Phone Number: | 8454177724 |
Fax Number: | |
NPI Enumeration Date: | 07/21/2015 |
NPI Last Update Date: | 07/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |