Provider Demographics
NPI:1225228224
Name:ROSATO, ROSE CELIA (MA LPC)
Entity Type:Individual
Prefix:MRS
First Name:ROSE
Middle Name:CELIA
Last Name:ROSATO
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:MISS
Other - First Name:ROSE
Other - Middle Name:DENISE
Other - Last Name:CELIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:666 GODWIN AVENUE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MIDLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07432-1463
Mailing Address - Country:US
Mailing Address - Phone:201-612-2355
Mailing Address - Fax:
Practice Address - Street 1:666 GODWIN AVENUE
Practice Address - Street 2:SUITE 100
Practice Address - City:MIDLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07432-1463
Practice Address - Country:US
Practice Address - Phone:201-612-2355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00067100101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor