Provider Demographics
NPI:1851098727
Name:HURLEY, ROSEANITA SCHUBERT (SLP-CCC)
Entity Type:Individual
Prefix:
First Name:ROSEANITA
Middle Name:SCHUBERT
Last Name:HURLEY
Suffix:
Gender:F
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 SAINT DAVIDS RD
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-4307
Mailing Address - Country:US
Mailing Address - Phone:484-547-6299
Mailing Address - Fax:
Practice Address - Street 1:316 SAINT DAVIDS RD
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-4307
Practice Address - Country:US
Practice Address - Phone:484-547-6299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL016154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist