Deangelis-Tyre, Rosalind M

Deangelis-Tyre, Rosalind M is an individual health care provider with primary practice located at 2155 Golden Meadow Way , Bartow FL 33830-2973. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Deangelis-Tyre, Rosalind M can be contacted via phone (386) 397-4972.

Contact Information

Primary practice address
2155 Golden Meadow Way Bartow FL 33830-2973
Phone: (386) 397-4972
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW10385 Florida

Profile Details

NPI number 1568767028
LBN Legal business name Deangelis-Tyre, Rosalind M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2011
Last updated Jun 6th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568767028 NPPES
Florida MEDICAID 004085500

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