Individual
MRS. STEPHANIE MARIE ROZENDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA-CCC SLP
Contact information
Practice address
5550 E KELLOGE AVE, WICHITA, KS 67218
(316) 685-2221
Mailing address
4230 N EAGLE LAKE CT, BEL AIRE, KS 67220-1719
(316) 685-2221
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2941
KS
235Z00000X
Speech-Language Pathologist
SP1189
NV
Other
Enumeration date
12/08/2008
Last updated
05/28/2009
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