Individual
MRS. JULIE ROSENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
76 PROGRESS DR, BUSINESS SUITE 230B, STAMFORD, CT 06902-3600
(203) 273-6794
Mailing address
54 BLACK TWIG PL, STAMFORD, CT 06903-1835
(203) 273-6794
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3669
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120877
ASHA
CT
01
—
3669
CT DEPT OF HEALTH
CT
Enumeration date
02/04/2015
Last updated
02/04/2015
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