Rozelle, Deborah
Rozelle, Deborah is an sole proprietor health care provider with primary practice located at 205 Waterman St Ste 105 , Providence RI 02906-4313. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Rozelle, Deborah can be contacted via phone (781) 862-4800.Contact Information
Primary practice address
205 Waterman St Ste 105
Providence RI 02906-4313
Phone: (781) 862-4800
Fax: (401) 252-4203
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 3728 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 7589 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 7589 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS01896 | Rhode Island |
Profile Details
| NPI number | 1154429454 |
|---|---|
| LBN Legal business name | Rozelle, Deborah |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Aug 20th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154429454 | NPPES |
| Rhode Island | Other | 1154429454-7698 | BCBS OF RI |
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