Provider Demographics
NPI:1033357652
Name:ROSENFIELD, JUDITH FAITH (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:FAITH
Last Name:ROSENFIELD
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:56 EAST MAIN STREET
Mailing Address - Street 2:SUITE 202
Mailing Address - City:AVON
Mailing Address - State:CT
Mailing Address - Zip Code:06001
Mailing Address - Country:US
Mailing Address - Phone:860-965-2103
Mailing Address - Fax:
Practice Address - Street 1:56 EAST MAIN STREET
Practice Address - Street 2:SUITE 202
Practice Address - City:AVON
Practice Address - State:CT
Practice Address - Zip Code:06001
Practice Address - Country:US
Practice Address - Phone:860-217-0098
Practice Address - Fax:860-217-0742
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-04
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001808235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist