Provider Demographics
NPI:1487852976
Name:COUZENS, ROSEMARY R (MS, RD, LDN, CDE)
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:R
Last Name:COUZENS
Suffix:
Gender:F
Credentials:MS, RD, LDN, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1249 MADISON DR
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-4305
Mailing Address - Country:US
Mailing Address - Phone:215-932-9262
Mailing Address - Fax:
Practice Address - Street 1:1669 EDGEWOOD RD
Practice Address - Street 2:SUITE 205
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-5571
Practice Address - Country:US
Practice Address - Phone:215-932-9262
Practice Address - Fax:215-642-2216
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-05
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN000487133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered