Provider Demographics
NPI:1417369141
Name:BARZOLA, ROSARIO ANALIA
Entity Type:Individual
Prefix:
First Name:ROSARIO
Middle Name:ANALIA
Last Name:BARZOLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 LAUREL PARK
Mailing Address - Street 2:
Mailing Address - City:HOLBROOK
Mailing Address - State:MA
Mailing Address - Zip Code:02343-1112
Mailing Address - Country:US
Mailing Address - Phone:857-249-5912
Mailing Address - Fax:
Practice Address - Street 1:14 LAUREL PARK
Practice Address - Street 2:
Practice Address - City:HOLBROOK
Practice Address - State:MA
Practice Address - Zip Code:02343-1745
Practice Address - Country:US
Practice Address - Phone:857-249-5912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-29
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health