Provider Demographics
NPI:1740371541
Name:ROSEN, ANNA (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:
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 1:231 W UNIVERSITY DR STE 111
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-1891
Mailing Address - Country:US
Mailing Address - Phone:940-387-2939
Mailing Address - Fax:940-387-0434
Practice Address - Street 1:231 W UNIVERSITY DR STE 111
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-1891
Practice Address - Country:US
Practice Address - Phone:940-387-2939
Practice Address - Fax:940-387-0434
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101784235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist