Provider Demographics
NPI:1093898207
Name:ROSENBERG, BARBARA L (PHD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:L
Last Name:ROSENBERG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 FRANKLIN PLACE
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-3616
Mailing Address - Country:US
Mailing Address - Phone:908-277-4206
Mailing Address - Fax:908-277-2381
Practice Address - Street 1:25 FRANKLIN PLACE
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-3616
Practice Address - Country:US
Practice Address - Phone:908-277-4206
Practice Address - Fax:908-277-2381
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00233400103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
6006483OtherAETNA
P392058OtherOXFORD HEALTH INSURANCE
633830Medicare ID - Type Unspecified