Provider Demographics
NPI:1467511527
Name:ROSEN, HOWARD STEPHEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:STEPHEN
Last Name:ROSEN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2447 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-1944
Mailing Address - Country:US
Mailing Address - Phone:717-236-3090
Mailing Address - Fax:717-236-3094
Practice Address - Street 1:2019 N 2ND ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17102-2147
Practice Address - Country:US
Practice Address - Phone:717-236-3090
Practice Address - Fax:717-236-3094
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS0005321-L103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent