Provider Demographics
NPI:1568537900
Name:ROSENBERG, DEBRA S (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:S
Last Name:ROSENBERG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 SENTINEL ROAD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON CROSSING
Mailing Address - State:PA
Mailing Address - Zip Code:18977
Mailing Address - Country:US
Mailing Address - Phone:215-801-9297
Mailing Address - Fax:
Practice Address - Street 1:6 PENNS TRAIL
Practice Address - Street 2:SUITE #216
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940
Practice Address - Country:US
Practice Address - Phone:215-801-9297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0025402103T00000X
FLSW6184103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist