Provider Demographics
NPI:1396867396
Name:FINN ROSATO, KATIE COLLEEN (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:COLLEEN
Last Name:FINN ROSATO
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:COLLEEN
Other - Last Name:FINN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:616 CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:COLLINGSWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08108-1616
Mailing Address - Country:US
Mailing Address - Phone:856-854-2995
Mailing Address - Fax:
Practice Address - Street 1:616 CEDAR AVE
Practice Address - Street 2:
Practice Address - City:COLLINGSWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08108-1616
Practice Address - Country:US
Practice Address - Phone:856-854-2995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00468200235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist