Provider Demographics
NPI:1073716478
Name:THOMAS, ROSEMARY W (M ED)
Entity Type:Individual
Prefix:MRS
First Name:ROSEMARY
Middle Name:W
Last Name:THOMAS
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 MCCLAIN RD
Mailing Address - Street 2:
Mailing Address - City:BEAVER FALLS
Mailing Address - State:PA
Mailing Address - Zip Code:15010-1006
Mailing Address - Country:US
Mailing Address - Phone:724-843-4112
Mailing Address - Fax:
Practice Address - Street 1:148 MCCLAIN RD
Practice Address - Street 2:
Practice Address - City:BEAVER FALLS
Practice Address - State:PA
Practice Address - Zip Code:15010-1006
Practice Address - Country:US
Practice Address - Phone:724-843-4112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL001889L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01892940OtherMAMIS NUMBER