Provider Demographics
NPI:1891202206
Name:JOSEPH, ROSANNE M (SLP)
Entity type:Individual
Prefix:MS
First Name:ROSANNE
Middle Name:M
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12514 FERN CREEK TRL
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-3063
Mailing Address - Country:US
Mailing Address - Phone:713-409-7760
Mailing Address - Fax:
Practice Address - Street 1:7840 FM 1960 RD E STE 401
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-2258
Practice Address - Country:US
Practice Address - Phone:281-548-2458
Practice Address - Fax:281-348-2456
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-08
Last Update Date:2018-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12702235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist