Provider Demographics
NPI:1578702130
Name:KLORMAN, ROSEMARIE P (MSLPC)
Entity Type:Individual
Prefix:MRS
First Name:ROSEMARIE
Middle Name:P
Last Name:KLORMAN
Suffix:
Gender:F
Credentials:MSLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 W CHANDLER BLVD STE B-4
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-2549
Mailing Address - Country:US
Mailing Address - Phone:480-899-0200
Mailing Address - Fax:480-899-0202
Practice Address - Street 1:908 W CHANDLER BLVD STE B-4
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-2549
Practice Address - Country:US
Practice Address - Phone:480-899-0200
Practice Address - Fax:480-899-0202
Is Sole Proprietor?:No
Enumeration Date:2009-02-05
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC0171101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health