Provider Demographics
NPI:1326205485
Name:ROSENBERG, SETH LOREN (MA, LPC,)
Entity Type:Individual
Prefix:MR
First Name:SETH
Middle Name:LOREN
Last Name:ROSENBERG
Suffix:
Gender:M
Credentials:MA, LPC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 E GAY ST
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-2768
Mailing Address - Country:US
Mailing Address - Phone:215-407-7047
Mailing Address - Fax:
Practice Address - Street 1:234 E GAY ST
Practice Address - Street 2:GROUND FLOOR OFFICE
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-2768
Practice Address - Country:US
Practice Address - Phone:215-407-7047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-16
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004804101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health