Provider Demographics
NPI:1477211811
Name:DE SAPIO, ROSE MARGARET (MS)
Entity Type:Individual
Prefix:
First Name:ROSE MARGARET
Middle Name:
Last Name:DE SAPIO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 4TH AVE NE UNIT 409
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-3400
Mailing Address - Country:US
Mailing Address - Phone:732-425-1011
Mailing Address - Fax:727-827-2765
Practice Address - Street 1:105 4TH AVE NE UNIT 409
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-3400
Practice Address - Country:US
Practice Address - Phone:732-425-1011
Practice Address - Fax:727-827-2765
Is Sole Proprietor?:No
Enumeration Date:2021-12-02
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health