Provider Demographics
NPI:1134004757
Name:ROSE, ADELINE FAITH (BS)
Entity type:Individual
Prefix:MS
First Name:ADELINE
Middle Name:FAITH
Last Name:ROSE
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:139 OATES TER
Mailing Address - Street 2:
Mailing Address - City:JESSIEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:71949-8503
Mailing Address - Country:US
Mailing Address - Phone:501-701-0129
Mailing Address - Fax:501-566-1152
Practice Address - Street 1:1698 N HIGHWAY 7
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71909-9686
Practice Address - Country:US
Practice Address - Phone:501-701-0129
Practice Address - Fax:501-566-1152
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant