Organization
SPEECH INCEPTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA R ROSENBERG M.S. CCC/SLP-L (SPEECH-LANGUAGE PATHOLOGIST)
(815) 520-6316
Entity
Organization
Contact information
Practice address
3060 KEITH BRIDGE RD, SUITE C, CUMMING, GA 30041-3954
(815) 520-6316
Mailing address
5325 HOPEWELL MANOR DR, CUMMING, GA 30028-4077
(815) 520-6316
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006312
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003142422A
—
GA
Enumeration date
09/22/2014
Last updated
09/22/2014
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