Individual
MR. MARK OWEN ROSEBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, CCC-SLP
Contact information
Practice address
9351 HIGHWAY 370, RIPLEY, MS 38663-7310
(662) 882-3610
Mailing address
9351 HIGHWAY 370, RIPLEY, MS 38663-7310
(662) 882-3610
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2488
MS
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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