Provider Demographics
NPI:1285679910
Name:UMANA, ROSEANN F (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROSEANN
Middle Name:F
Last Name:UMANA
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 1:3840 N HIGH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3748
Mailing Address - Country:US
Mailing Address - Phone:614-261-1126
Mailing Address - Fax:
Practice Address - Street 1:3840 N HIGH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3748
Practice Address - Country:US
Practice Address - Phone:614-261-1126
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2003103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0289692Medicaid
OHCPO5731Medicare ID - Type Unspecified