Provider Demographics
NPI:1093932600
Name:PHILIPPE, ROSE K (MS, CCC-SLP, TSLD)
Entity Type:Individual
Prefix:MS
First Name:ROSE
Middle Name:K
Last Name:PHILIPPE
Suffix:
Gender:F
Credentials:MS, CCC-SLP, TSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 FRANKLIN AVE
Mailing Address - Street 2:#2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-4403
Mailing Address - Country:US
Mailing Address - Phone:347-559-0868
Mailing Address - Fax:
Practice Address - Street 1:243 FRANKLIN AVE
Practice Address - Street 2:#2
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205-4403
Practice Address - Country:US
Practice Address - Phone:347-559-0868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist