Provider Demographics
NPI:1649718388
Name:PAPERA, ROSEMARIE (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ROSEMARIE
Middle Name:
Last Name:PAPERA
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:ROSEMARIE
Other - Middle Name:
Other - Last Name:MARUCCI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:16 ROCKAWAY VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:BOONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07005-9003
Mailing Address - Country:US
Mailing Address - Phone:973-464-5220
Mailing Address - Fax:
Practice Address - Street 1:16 ROCKAWAY VALLEY RD
Practice Address - Street 2:
Practice Address - City:BOONTON
Practice Address - State:NJ
Practice Address - Zip Code:07005-9003
Practice Address - Country:US
Practice Address - Phone:973-464-5220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-02
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00234300235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist