Provider Demographics
NPI:1134490220
Name:KUSZAK, ROSEMARIE NMI
Entity Type:Individual
Prefix:MRS
First Name:ROSEMARIE
Middle Name:NMI
Last Name:KUSZAK
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:ROSEMARIE
Other - Middle Name:NMI
Other - Last Name:STAMMLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:525 PARKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ROSE HILL
Mailing Address - State:KS
Mailing Address - Zip Code:67133-9580
Mailing Address - Country:US
Mailing Address - Phone:316-440-3845
Mailing Address - Fax:
Practice Address - Street 1:525 PARKWOOD DR
Practice Address - Street 2:
Practice Address - City:ROSE HILL
Practice Address - State:KS
Practice Address - Zip Code:67133-9580
Practice Address - Country:US
Practice Address - Phone:316-440-3845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-20
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor