Provider Demographics
NPI:1023248523
Name:ROSNICK, TINA MARIE (MA AUDIOLOGIST)
Entity type:Individual
Prefix:
First Name:TINA
Middle Name:MARIE
Last Name:ROSNICK
Suffix:
Gender:F
Credentials:MA AUDIOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2315 SUNSET BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2496
Mailing Address - Country:US
Mailing Address - Phone:740-266-7006
Mailing Address - Fax:740-266-7049
Practice Address - Street 1:2315 SUNSET BLVD STE A
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2496
Practice Address - Country:US
Practice Address - Phone:740-266-7006
Practice Address - Fax:740-266-7049
Is Sole Proprietor?:No
Enumeration Date:2009-07-17
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH01145237600000X
OHA01145231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810029312Medicaid
OH0130511Medicaid
WV3810029312Medicaid