Roesel, Rosalyn

Roesel, Rosalyn is an sole proprietor health care provider with primary practice located at 1983 Delegal Dr Ne , Townsend GA 31331-7425. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Roesel, Rosalyn can be contacted via phone (912) 667-5079.

Contact Information

Primary practice address
1983 Delegal Dr Ne Townsend GA 31331-7425
Phone: (912) 667-5079
Fax: (912) 832-4693
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY001032 Georgia
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY001032 Georgia
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY001032 Georgia
Behavioral Health & Social Service Providers / Family 103TF0000X PSY001032 Georgia
Behavioral Health & Social Service Providers / Forensic 103TF0200X PSY001032 Georgia

Profile Details

NPI number 1588779722
LBN Legal business name Roesel, Rosalyn
Credentials RN, MSN, PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2006
Last updated Oct 9th, 2009 - about 16 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 1588779722 NPPES
Georgia MEDICAID 000366627A

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