Individual
BRENDA SUSAN ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1020 BARNETTE ST, FAIRBANKS, AK 99701-4502
(907) 456-4003
(907) 456-6124
Mailing address
1020 BARNETTE ST, FAIRBANKS, AK 99701-4502
(907) 456-4003
(907) 456-6124
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
512
AK
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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