Provider Demographics
NPI:1053633602
Name:COTRONEA, ROSE (MA)
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:
Last Name:COTRONEA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 STRING BRG
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-1835
Mailing Address - Country:US
Mailing Address - Phone:603-772-3322
Mailing Address - Fax:
Practice Address - Street 1:18 STRING BRG
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-1835
Practice Address - Country:US
Practice Address - Phone:603-772-3322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-24
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH669101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health