Provider Demographics
NPI:1548229347
Name:PRYOR, ROSALYN RENEE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ROSALYN
Middle Name:RENEE
Last Name:PRYOR
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Gender:F
Credentials:MS, CCC-SLP
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Mailing Address - Street 1:5201 S WESTMORELAND RD
Mailing Address - Street 2:THE REHAB GROUP
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-1622
Mailing Address - Country:US
Mailing Address - Phone:214-339-2047
Mailing Address - Fax:214-339-2049
Practice Address - Street 1:5201 S WESTMORELAND RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-1622
Practice Address - Country:US
Practice Address - Phone:214-339-2047
Practice Address - Fax:214-339-2049
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXEDUCATIONAL DIAGNOST174400000X
TX17093235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered174400000XOther Service ProvidersSpecialist
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist