Wolberg, Roslyn Gail

Wolberg, Roslyn Gail is an individual health care provider with primary practice located at 14500 Bustleton Ave Suite 204, Philadelphia PA 19116-1188. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wolberg, Roslyn Gail can be contacted via phone (215) 671-0590.

Contact Information

Primary practice address
14500 Bustleton Ave Suite 204 Philadelphia PA 19116-1188
Phone: (215) 671-0590
Fax: (215) 947-0436
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS00360L Pennsylvania

Profile Details

NPI number 1376594374
LBN Legal business name Wolberg, Roslyn Gail
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2006
Last updated Jul 9th, 2007 - about 17 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 1376594374 NPPES
Pennsylvania Other 0049455000 MAGELLAN PROVIDER #

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