Provider Demographics
NPI:1760599021
Name:GREGG, ROSEMARY S (RN)
Entity Type:Individual
Prefix:MRS
First Name:ROSEMARY
Middle Name:S
Last Name:GREGG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:378 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:OAKMONT
Mailing Address - State:PA
Mailing Address - Zip Code:15139-1854
Mailing Address - Country:US
Mailing Address - Phone:412-826-0819
Mailing Address - Fax:
Practice Address - Street 1:723 BRADDOCK AVE
Practice Address - Street 2:
Practice Address - City:BRADDOCK
Practice Address - State:PA
Practice Address - Zip Code:15104-1849
Practice Address - Country:US
Practice Address - Phone:412-351-0222
Practice Address - Fax:412-351-0180
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN197318L101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health