Provider Demographics
NPI:1477280527
Name:ROSENBAUM, ALANE A (SPEECH PATHOLOGIST)
Entity Type:Individual
Prefix:
First Name:ALANE
Middle Name:A
Last Name:ROSENBAUM
Suffix:
Gender:F
Credentials:SPEECH PATHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 N VERANDA RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382-1720
Mailing Address - Country:US
Mailing Address - Phone:713-562-1663
Mailing Address - Fax:
Practice Address - Street 1:606 N CAMPBELL ST
Practice Address - Street 2:
Practice Address - City:WILLIS
Practice Address - State:TX
Practice Address - Zip Code:77378-9297
Practice Address - Country:US
Practice Address - Phone:936-890-1412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14522235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist