Individual
MRS. LAURIE F. ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,CCC/A
Contact information
Practice address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-3663
(215) 707-6417
Mailing address
2450 W HUNTING PARK AVE, 3/208N, PHILADELPHIA, PA 19129-1302
(215) 707-3663
(215) 707-7300
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT-000686-L
PA
Other
Enumeration date
05/22/2008
Last updated
04/30/2018
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