Provider Demographics
NPI:1154631323
Name:ROSENBERG, JOANNE L (MA)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:L
Last Name:ROSENBERG
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 N BAKER DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-3962
Mailing Address - Country:US
Mailing Address - Phone:732-987-4218
Mailing Address - Fax:732-987-4219
Practice Address - Street 1:27 N BAKER DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-3962
Practice Address - Country:US
Practice Address - Phone:732-987-4218
Practice Address - Fax:732-987-4219
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-20
Last Update Date:2011-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJYA773237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter