Provider Demographics
NPI:1023827458
Name:ROSEBERRY, ROBERT COREY (AUD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:COREY
Last Name:ROSEBERRY
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2192 S QUEEN ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-4671
Mailing Address - Country:US
Mailing Address - Phone:717-741-0788
Mailing Address - Fax:
Practice Address - Street 1:1400 PROLINE PL STE 500
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-9403
Practice Address - Country:US
Practice Address - Phone:717-334-8661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-31
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist