Provider Demographics
NPI:1437392792
Name:ROSEMAN, ASHLEY S (PHD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:S
Last Name:ROSEMAN
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 1:4413 LULA ST
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-5223
Mailing Address - Country:US
Mailing Address - Phone:832-203-7259
Mailing Address - Fax:
Practice Address - Street 1:4413 LULA ST
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-5223
Practice Address - Country:US
Practice Address - Phone:832-203-7259
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-15
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33951103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical