Provider Demographics
NPI:1073900775
Name:SHAUL, ROSANNE E (LMSW)
Entity Type:Individual
Prefix:
First Name:ROSANNE
Middle Name:E
Last Name:SHAUL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 HILLCROFT ST
Mailing Address - Street 2:APARTMENT 1111
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-5819
Mailing Address - Country:US
Mailing Address - Phone:419-957-9046
Mailing Address - Fax:
Practice Address - Street 1:4100 WESTHEIMER RD
Practice Address - Street 2:SUITE 233
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-4400
Practice Address - Country:US
Practice Address - Phone:419-957-9046
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-20
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX588761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical