Provider Demographics
NPI:1720845456
Name:ROSEMANN, LINDA ANN (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:ANN
Last Name:ROSEMANN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MRS
Other - First Name:LINDA
Other - Middle Name:ANN
Other - Last Name:ROSEMANN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, CCC, SLP
Mailing Address - Street 1:5 STANWICH RD
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-4840
Mailing Address - Country:US
Mailing Address - Phone:914-486-8696
Mailing Address - Fax:
Practice Address - Street 1:5 STANWICH RD
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-4840
Practice Address - Country:US
Practice Address - Phone:914-486-8696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT006741235Z00000X
NY032640-01235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist