Provider Demographics
NPI:1467702324
Name:ROSENBERG, STEVEN (PHD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:ROSENBERG
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 1:2112 CASE PKWY
Mailing Address - Street 2:STE 10
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-4301
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2112 CASE PKWY
Practice Address - Street 2:STE 10
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-4301
Practice Address - Country:US
Practice Address - Phone:800-841-4774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-18
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH2952103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist