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NPI Code Detail

MEDICARE: KAREN ROSENTHAL MA CCC-SLP

MEDICARE: KAREN ROSENTHAL MA 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 Pathologist2202005040VA

General Provider Information

NPI Number : 1144432758
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN ROSENTHAL MA CCC-SLP
Provider Business Mailing Address
First Line : 480 WINDING ROSE DR
Second Line :
City : ROCKVILLE
State : MD
Zip : 20850-2864
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6700 COLUMBIA PIKE
Second Line :
City : ANNANDALE
State : VA
Zip : 22003-3450
Country : US
Telephone Number : 703-256-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2007
Last Update Date : 02/27/2015

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Directions to “ KAREN ROSENTHAL MA CCC-SLP” Practice Location

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