Doctor Name: | JENNA REBECCA ROSENBERG |
NPI Number: | 1881939593 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC SLP |
License Number: | 001976 |
Business Practice Address: | 4725 Merle Hay Rd 107 Des Moines, IA - 50322 |
Business Phone Number: | 5153313190 |
Business Fax Number: | 5153313191 |
Mailing Address: | 2738 Nw 155th Ct, CLIVE |
State: | IA |
Postal Code: | 50325 |
Phone Number: | 5153313190 |
Fax Number: | 5153313191 |
NPI Enumeration Date: | 12/06/2012 |
NPI Last Update Date: | 12/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 001976 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
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 |