Provider Demographics
NPI:1326189952
Name:SPATZ, ROSEANN J (AUD)
Entity Type:Individual
Prefix:DR
First Name:ROSEANN
Middle Name:J
Last Name:SPATZ
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:ROSEANN
Other - Middle Name:J
Other - Last Name:MOLINELLI-SPATZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AUD
Mailing Address - Street 1:535 WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-8018
Mailing Address - Country:US
Mailing Address - Phone:516-785-5868
Mailing Address - Fax:516-785-5397
Practice Address - Street 1:535 WILLOW ST
Practice Address - Street 2:
Practice Address - City:SOUTH HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-8018
Practice Address - Country:US
Practice Address - Phone:516-785-5868
Practice Address - Fax:516-785-5397
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000875-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist