Provider Demographics
NPI:1225473341
Name:ROSENMEYER, DEBRA DEENA (MA CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:DEENA
Last Name:ROSENMEYER
Suffix:
Gender:F
Credentials:MA CCC-A
Other - Prefix:MISS
Other - First Name:DEBRA
Other - Middle Name:DEENA
Other - Last Name:MANDEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC-A
Mailing Address - Street 1:560 WHITE PLAINS RD-ENTA
Mailing Address - Street 2:SUITE 615
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-6802
Mailing Address - Country:US
Mailing Address - Phone:914-984-2534
Mailing Address - Fax:
Practice Address - Street 1:670 STONELEIGH AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-3997
Practice Address - Country:US
Practice Address - Phone:845-279-9190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-02
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000274-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist