Provider Demographics
NPI:1790219426
Name:ROSMANN, REBECKA E (PSYD)
Entity Type:Individual
Prefix:
First Name:REBECKA
Middle Name:E
Last Name:ROSMANN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:REBECKA
Other - Middle Name:
Other - Last Name:TOMPKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:1500 E 10TH STREET
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC
Mailing Address - State:IA
Mailing Address - Zip Code:50022-1935
Mailing Address - Country:US
Mailing Address - Phone:712-243-2606
Mailing Address - Fax:712-243-7811
Practice Address - Street 1:1500 E 10TH ST
Practice Address - Street 2:
Practice Address - City:ATLANTIC
Practice Address - State:IA
Practice Address - Zip Code:50022-1935
Practice Address - Country:US
Practice Address - Phone:712-243-2606
Practice Address - Fax:712-243-7811
Is Sole Proprietor?:No
Enumeration Date:2017-04-19
Last Update Date:2017-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE843103TC0700X
IA086957103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical