Provider Demographics
NPI:1710640339
Name:EUSEBIO, ROSA A
Entity Type:Individual
Prefix:
First Name:ROSA
Middle Name:A
Last Name:EUSEBIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 COLONY CT
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-1631
Mailing Address - Country:US
Mailing Address - Phone:401-771-3478
Mailing Address - Fax:
Practice Address - Street 1:236 COLONY CT
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-1631
Practice Address - Country:US
Practice Address - Phone:401-771-3478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-20
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical