Provider Demographics
NPI:1407863046
Name:ROSENBERGER, KAREN L (PSYD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:L
Last Name:ROSENBERGER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 E CHESTNUT ST
Mailing Address - Street 2:STE 202
Mailing Address - City:SOUDERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18964-1179
Mailing Address - Country:US
Mailing Address - Phone:267-736-4454
Mailing Address - Fax:
Practice Address - Street 1:121 E CHESTNUT ST
Practice Address - Street 2:STE 202
Practice Address - City:SOUDERTON
Practice Address - State:PA
Practice Address - Zip Code:18964-1179
Practice Address - Country:US
Practice Address - Phone:267-736-4454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS008754L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA279458000OtherMAGELLAN BEHAVIORAL HEALT
PAR01342473OtherBLUESHIELD
PA680015509OtherRAILROAD MEDICARE
PA680015509OtherRAILROAD MEDICARE