Provider Demographics
NPI:1114551215
Name:CEASAR, ROSALIND CHRISTINE
Entity Type:Individual
Prefix:
First Name:ROSALIND
Middle Name:CHRISTINE
Last Name:CEASAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 MONTGOMERY ST
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4202
Mailing Address - Country:US
Mailing Address - Phone:240-294-1304
Mailing Address - Fax:301-617-2869
Practice Address - Street 1:422 MONTGOMERY ST
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4202
Practice Address - Country:US
Practice Address - Phone:240-294-1304
Practice Address - Fax:301-617-2869
Is Sole Proprietor?:No
Enumeration Date:2020-02-27
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional