Rosanne Lysne
Individual provider Active NPI Speech-Language Pathologist · Wahpeton, ND
NPI 1033523907 · NPPES record last updated Jun 18, 2014
Key facts
- NPI
- 1033523907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1328 (ND)
- Practice address
- 18055 79 1/2 St SE
Wahpeton, ND 58075-9340 - Phone
- (701) 642-3375
- NPI assigned
- Jun 18, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1328 | ND | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1328 | ND | Yes |
Addresses
Primary practice location
18055 79 1/2 St SE
Wahpeton, ND 58075-9340
Mailing address
18055 79 1/2 St SE
Wahpeton, ND 58075-9340
Other providers in Wahpeton, ND
- Nikki L Lowry
- Alezay Jazelle Rose Luna
- Alicia Luna
- Arturo Luna Jr.
- Michaela Amorita Luna
- Lucy B Malkasian
- Trisha Martin
- Ruby A Martinez
- Niklaas Mattson
- William M Mayo
All providers in Wahpeton, ND · Speech-Language Pathologist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.