Individual
BRIDGET ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1721 PINE ST, PHILADELPHIA, PA 19103-6701
(215) 545-3322
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
22009079A
IN
235Z00000X
Speech-Language Pathologist
Primary
SL010255
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104839891
ANTHEM PTAN
IN
Enumeration date
10/19/2010
Last updated
09/19/2025
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