Provider Demographics
NPI:1609379189
Name:VON ROSENBERG, ERIN RENE (BS, SLPA)
Entity Type:Individual
Prefix:MISS
First Name:ERIN
Middle Name:RENE
Last Name:VON ROSENBERG
Suffix:
Gender:F
Credentials:BS, SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9863 MUSICK RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63123-3950
Mailing Address - Country:US
Mailing Address - Phone:314-604-3430
Mailing Address - Fax:
Practice Address - Street 1:4200 N CLOVERLEAF DR STE J
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-6436
Practice Address - Country:US
Practice Address - Phone:636-922-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-12
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant