Provider Demographics
NPI:1760636385
Name:ANDREJCZYK, ROSE PENDALA (PSYD)
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:PENDALA
Last Name:ANDREJCZYK
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 NEW LUDLOW RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01075-3002
Mailing Address - Country:US
Mailing Address - Phone:413-536-1958
Mailing Address - Fax:
Practice Address - Street 1:20 NEW LUDLOW RD
Practice Address - Street 2:
Practice Address - City:SOUTH HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01075-3002
Practice Address - Country:US
Practice Address - Phone:413-536-1958
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-10
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist