Provider Demographics
NPI:1518361971
Name:ROBERT N. ROSENHEIM, LLC
Entity Type:Organization
Organization Name:ROBERT N. ROSENHEIM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENHEIM
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCADC,ICGC, NCC
Authorized Official - Phone:856-547-7700
Mailing Address - Street 1:6 WHITE HORSE PIKE
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:HADDON HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:08035-1246
Mailing Address - Country:US
Mailing Address - Phone:856-547-7700
Mailing Address - Fax:856-547-7701
Practice Address - Street 1:6 WHITE HORSE PIKE
Practice Address - Street 2:SUITE 1B
Practice Address - City:HADDON HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:08035-1246
Practice Address - Country:US
Practice Address - Phone:856-547-7700
Practice Address - Fax:856-547-7701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-14
Last Update Date:2016-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00485000251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health