Provider Demographics
NPI:1952514648
Name:GUNST, ROSEMARY JEAN (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:ROSEMARY
Middle Name:JEAN
Last Name:GUNST
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 1:4444 W LAKE POTOMAC VW
Mailing Address - Street 2:APT. B
Mailing Address - City:GREENFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46140-7338
Mailing Address - Country:US
Mailing Address - Phone:317-417-1137
Mailing Address - Fax:317-861-5134
Practice Address - Street 1:4444 W LAKE POTOMAC VW
Practice Address - Street 2:APT. B
Practice Address - City:GREENFIELD
Practice Address - State:IN
Practice Address - Zip Code:46140-7338
Practice Address - Country:US
Practice Address - Phone:317-417-1137
Practice Address - Fax:317-861-5134
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22002755A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist