MEDICARE: MRS. GENA MARIE ROSSOW 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
1	235Z00000X	Speech-Language Pathologist	2753	KS

General Provider Information

NPI Number	:	1154675965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GENA MARIE ROSSOW MA, CCC-SLP

Provider Business Mailing Address
First Line	:	112 RIVERVIEW DR
Second Line	:
City	:	WAMEGO
State	:	KS
Zip	:	66547-1931
Country	:	US
Telephone Number	:	913-575-3697
Fax Number	:

Provider Business Practice Location Address
First Line	:	519 MCCALL RD
Second Line	:
City	:	MANHATTAN
State	:	KS
Zip	:	66502-5033
Country	:	US
Telephone Number	:	913-575-3697
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2012
Last Update Date	:	05/06/2026

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Directions to “ MRS. GENA MARIE ROSSOW MA, CCC-SLP” Practice Location

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