Provider Demographics
NPI:1467785493
Name:ROSIN, SHERYL JOY (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHERYL
Middle Name:JOY
Last Name:ROSIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Practice Address - Country:US
Practice Address - Phone:561-842-8996
Practice Address - Fax:561-842-8996
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-09
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA10131235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist