Provider Demographics
NPI:1790065597
Name:ROSEMANN, ROBYN N
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:N
Last Name:ROSEMANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 BELL RD
Mailing Address - Street 2:
Mailing Address - City:WRIGHT CITY
Mailing Address - State:MO
Mailing Address - Zip Code:63390-3202
Mailing Address - Country:US
Mailing Address - Phone:636-745-7200
Mailing Address - Fax:636-745-3613
Practice Address - Street 1:90 BELL RD
Practice Address - Street 2:
Practice Address - City:WRIGHT CITY
Practice Address - State:MO
Practice Address - Zip Code:63390-3202
Practice Address - Country:US
Practice Address - Phone:636-745-7200
Practice Address - Fax:636-745-3613
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-24
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011017278235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist