Provider Demographics
NPI:1922247238
Name:ROSEN, VALERIE T (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:T
Last Name:ROSEN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59221 E US HIGHWAY 50
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:CO
Mailing Address - Zip Code:81025-9703
Mailing Address - Country:US
Mailing Address - Phone:719-947-3006
Mailing Address - Fax:
Practice Address - Street 1:401 IDAHO AVE
Practice Address - Street 2:
Practice Address - City:ORDWAY
Practice Address - State:CO
Practice Address - Zip Code:81063-1328
Practice Address - Country:US
Practice Address - Phone:719-267-3561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-10
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist