Rose Resiliency Center

NPI 1104261213 - Psychologist - 103TP0016X

NPI Details
NPI 1104261213
Enumeration Date 05/02/2013
Last Updated 05/02/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name WILLIAM WILLIAM
Position EXECUTIVE DIRECTOR
Phone (866) 343-5509
Fax (570) 839-5392
Practice Location
2557 ROUTE 940
SUITE 102
POCONO SUMMIT PA, 18346, US
Phone (866) 343-5509
Fax (570) 839-5392
Business Location
PO BOX 329
MOUNT POCONO PA, 18344-0329, US
Phone (866) 343-5509
Fax (570) 839-5392
Toxanomy
Taxonomy Code 103TP0016X
License State Pennsylvania
License Number MD037460L
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According to our database, Rose Resiliency Center NPI is 1104261213, taxonomy code is 103TP0016X and license number is MD037460L, license state is located at Pennsylvania. Rose Resiliency Center physically located at 2557 Route 940, Pocono Summit PA, 18346. NPI Number 1033115704 has the healthcare provider type.

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1104261213 NPI number is provided on an as is basis without warranty of any kind. 1104261213 is maintained by the National Plan & Provider Enumeration System. The contents of Rose Resiliency Center are for informational purposes only.