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NPI Code Detail

MEDICARE: KELSEY NEGRETE ROSEN MS, CCC-SLP

MEDICARE: KELSEY NEGRETE ROSEN MS, CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist22349CA
2235Z00000XSpeech-Language Pathologist8827CA

General Provider Information

NPI Number : 1881016301
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY NEGRETE ROSEN MS, CCC-SLP
Provider Business Mailing Address
First Line : 2201 EAST 4TH STREET
Second Line :
City : SANTA ANA
State : CA
Zip : 92705
Country : US
Telephone Number : 714-683-5876
Fax Number : 888-420-6257
Provider Business Practice Location Address
First Line : 2201 EAST 4TH STREET
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-3804
Country : US
Telephone Number : 714-683-5876
Fax Number : 888-420-6257
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2014
Last Update Date : 10/20/2025

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Directions to “ KELSEY NEGRETE ROSEN MS, CCC-SLP” Practice Location

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