Provider Demographics
NPI:1508177288
Name:SEGALLA, ROSEMARY A (ROSEMARY SEGALLA PHD)
Entity Type:Individual
Prefix:DR
First Name:ROSEMARY
Middle Name:A
Last Name:SEGALLA
Suffix:
Gender:F
Credentials:ROSEMARY SEGALLA PHD
Other - Prefix:
Other - First Name:ROSEMARY
Other - Middle Name:A
Other - Last Name:SEGALLA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ROSEMARY SEGALLA PHD
Mailing Address - Street 1:3551 WINFIELD LN NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2368
Mailing Address - Country:US
Mailing Address - Phone:202-965-1134
Mailing Address - Fax:202-333-1663
Practice Address - Street 1:3551 WINFIELD LN NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2368
Practice Address - Country:US
Practice Address - Phone:202-965-1134
Practice Address - Fax:202-333-1663
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-28
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDC 1066103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical