Healthcare Provider Details

I. General information

NPI: 1720682503
Provider Name (Legal Business Name): ROSNER AAC SPEECH SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2020
Last Update Date: 11/23/2020
Certification Date: 11/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 0AKBROOK PKWY SUITE 120
NORCROSS GA
30093-3009
US

IV. Provider business mailing address

8285 HEWLETT RD
ATLANTA GA
30350-3504
US

V. Phone/Fax

Practice location:
  • Phone: 770-350-0482
  • Fax: 770-350-0542
Mailing address:
  • Phone: 678-887-8832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QA3000X
TaxonomyAugmentative Communication Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MIRIAM ROSNER
Title or Position: SPEECH LANGAUGE PATHOLOGIST
Credential: CCC-SLP, ATP
Phone: 770-350-0482