Provider Demographics
NPI:1447559836
Name:ROSSMAN, TERRI (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:
Last Name:ROSSMAN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 WALL ST
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-1513
Mailing Address - Country:US
Mailing Address - Phone:609-924-7080
Mailing Address - Fax:609-924-6563
Practice Address - Street 1:19 WALL ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-1513
Practice Address - Country:US
Practice Address - Phone:609-924-7080
Practice Address - Fax:609-924-6563
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00087200235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist