Provider Demographics
NPI:1669844643
Name:ROSENSTRAUCH, HELENA (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:HELENA
Middle Name:
Last Name:ROSENSTRAUCH
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-1809
Mailing Address - Country:US
Mailing Address - Phone:518-694-2557
Mailing Address - Fax:
Practice Address - Street 1:55 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-1809
Practice Address - Country:US
Practice Address - Phone:518-694-2557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-29
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025913-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist