MEDICARE: MS. CLAIRE BRECK ROSENKILD M.A., CCC-SLP, C/NDT

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	108157	TX
2	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1972858793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CLAIRE BRECK ROSENKILD M.A., CCC-SLP, C/NDT

Provider Business Mailing Address
First Line	:	3742 CHILDRESS ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-1112
Country	:	US
Telephone Number	:	361-563-8555
Fax Number	:

Provider Business Practice Location Address
First Line	:	3742 CHILDRESS ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-1112
Country	:	US
Telephone Number	:	361-563-8555
Fax Number	:

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

Provider Enumeration Date	:	07/18/2012
Last Update Date	:	05/13/2024

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Directions to “ MS. CLAIRE BRECK ROSENKILD M.A., CCC-SLP, C/NDT” Practice Location

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