Provider Demographics
NPI:1497825566
Name:ROZSA, ANDREW JOSEPH (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:JOSEPH
Last Name:ROZSA
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:170 WILLOW RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:INDIAN SPRINGS
Mailing Address - State:AL
Mailing Address - Zip Code:35124-3317
Mailing Address - Country:US
Mailing Address - Phone:205-733-8582
Mailing Address - Fax:205-995-0635
Practice Address - Street 1:7191 CAHABA VALLEY RD
Practice Address - Street 2:SUITE 204
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-6402
Practice Address - Country:US
Practice Address - Phone:205-995-9967
Practice Address - Fax:205-995-0635
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL491103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL117150Medicaid
AL117150Medicaid