Provider Demographics
NPI:1578512786
Name:MANDLER, ROSALIND (LMHC)
Entity Type:Individual
Prefix:MS
First Name:ROSALIND
Middle Name:
Last Name:MANDLER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 GREENWOOD LN
Mailing Address - Street 2:
Mailing Address - City:COCOA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32931-2745
Mailing Address - Country:US
Mailing Address - Phone:321-784-8182
Mailing Address - Fax:
Practice Address - Street 1:42 NEVINS CT
Practice Address - Street 2:
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32953-4657
Practice Address - Country:US
Practice Address - Phone:321-452-3500
Practice Address - Fax:321-452-4343
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0002779101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health