Most Relevant Information
Provider Data
| NPI Number: | 1003420019 |
| Provider Name: | BRIANA ROSENBAUM |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 14122 |
Most Important Dates
| Enumeration Date: | 09/08/2020 |
| Last Updated: | 09/27/2022 |
Provider Practice Location
814 SHADOW LAKE DR
WILLOW SPRING
NC
275929138
Practice Location Phone/Fax
| Phone: | 7243178557 |
| Fax: |
Provider Mailing Location
14435 PLANTERS KNOB LN
CHARLOTTE
NC
282737846
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |