Provider Demographics
NPI:1205322575
Name:ROSEMOND, FLORENCE (SLP)
Entity type:Individual
Prefix:MRS
First Name:FLORENCE
Middle Name:
Last Name:ROSEMOND
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 E SAM HARRELL RD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29506-6832
Mailing Address - Country:US
Mailing Address - Phone:843-799-1290
Mailing Address - Fax:
Practice Address - Street 1:319 S DARGAN ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-2538
Practice Address - Country:US
Practice Address - Phone:843-669-4141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-10
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist