Provider Demographics
NPI:1265254882
Name:ROSENSWEIG, HOLLY ERIN (MA CCC-SLP)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:ERIN
Last Name:ROSENSWEIG
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 1:13650 AMBASSADOR DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-2868
Mailing Address - Country:US
Mailing Address - Phone:443-668-2139
Mailing Address - Fax:
Practice Address - Street 1:13650 AMBASSADOR DR
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-2868
Practice Address - Country:US
Practice Address - Phone:443-668-2139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-25
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06055235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist