Provider Demographics
NPI:1396753414
Name:TARRAN, ROSEMARY K (SPEECH/LANGUAGE PATH)
Entity type:Individual
Prefix:MS
First Name:ROSEMARY
Middle Name:K
Last Name:TARRAN
Suffix:
Gender:F
Credentials:SPEECH/LANGUAGE PATH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:260 DORSEY RD
Mailing Address - Street 2:
Mailing Address - City:GILLESPIE
Mailing Address - State:IL
Mailing Address - Zip Code:62033-3005
Mailing Address - Country:US
Mailing Address - Phone:217-835-2668
Mailing Address - Fax:217-835-4090
Practice Address - Street 1:260 DORSEY RD
Practice Address - Street 2:
Practice Address - City:GILLESPIE
Practice Address - State:IL
Practice Address - Zip Code:62033-3005
Practice Address - Country:US
Practice Address - Phone:217-835-2668
Practice Address - Fax:217-835-4090
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146-003231235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist