Provider Demographics
NPI:1407992308
Name:KLINGMEYER, ROSALEE ANN (LCPC)
Entity Type:Individual
Prefix:MS
First Name:ROSALEE
Middle Name:ANN
Last Name:KLINGMEYER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3533 NORTHWAY DR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-7924
Mailing Address - Country:US
Mailing Address - Phone:443-838-1921
Mailing Address - Fax:410-923-7190
Practice Address - Street 1:43 COMMUNITY PL
Practice Address - Street 2:
Practice Address - City:CROWNSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21032-2034
Practice Address - Country:US
Practice Address - Phone:410-923-7191
Practice Address - Fax:410-923-7190
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0680101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health