Provider Demographics
NPI:1619321387
Name:ROSENFELD, CARMEN (MS)
Entity Type:Individual
Prefix:
First Name:CARMEN
Middle Name:
Last Name:ROSENFELD
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:CARMEN
Other - Middle Name:
Other - Last Name:COLON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:2916 AUTUMN RUN PL
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-7787
Mailing Address - Country:US
Mailing Address - Phone:407-748-1445
Mailing Address - Fax:
Practice Address - Street 1:2916 AUTUMN RUN PL
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-7787
Practice Address - Country:US
Practice Address - Phone:407-748-1445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-19
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health