Provider Demographics
NPI:1295212264
Name:SHERYL ROSIN PHD, LLC
Entity Type:Organization
Organization Name:SHERYL ROSIN PHD, LLC
Other - Org Name:PALM BEACH SPEECH-LANGUAGE SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:561-842-8996
Mailing Address - Street 1:3450 NORTHLAKE BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33403-1711
Mailing Address - Country:US
Mailing Address - Phone:561-842-8996
Mailing Address - Fax:561-842-8996
Practice Address - Street 1:3450 NORTHLAKE BLVD STE 203
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33403-1711
Practice Address - Country:US
Practice Address - Phone:561-842-8996
Practice Address - Fax:561-842-8996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-23
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA10131261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech