Provider Demographics
NPI:1447393285
Name:KOPFSTEIN, ROSALIND (DSW)
Entity Type:Individual
Prefix:DR
First Name:ROSALIND
Middle Name:
Last Name:KOPFSTEIN
Suffix:
Gender:F
Credentials:DSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 DIAMOND HILL RD
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CT
Mailing Address - Zip Code:06896-2221
Mailing Address - Country:US
Mailing Address - Phone:203-938-0317
Mailing Address - Fax:
Practice Address - Street 1:22 DIAMOND HILL RD
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CT
Practice Address - Zip Code:06896-2221
Practice Address - Country:US
Practice Address - Phone:203-938-0317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0000371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical