Individual
ADELE PERRY ROSENAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1400 N 500 E, LOGAN, UT 84341-2455
(435) 716-6440
Mailing address
1480 N 1750 E, LOGAN, UT 84341-2987
(435) 760-5910
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10823775-4104
UT
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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