Provider Demographics
NPI:1790944908
Name:MCDONAGH, ROSEMARY P (PMHCNS-BC)
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:P
Last Name:MCDONAGH
Suffix:
Gender:F
Credentials:PMHCNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 WEST LIBERTY ST
Mailing Address - Street 2:CORNERSTONE PSYCHOLOGICAL AND COUNSELING SERVICES
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256
Mailing Address - Country:US
Mailing Address - Phone:330-722-4166
Mailing Address - Fax:
Practice Address - Street 1:211 WEST LIBERTY
Practice Address - Street 2:CORNERSTONE PSYCHOLOGICAL & COUNSELING SERVICES
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256
Practice Address - Country:US
Practice Address - Phone:330-722-4166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNS-05203364SP0809X
OHCTP#RX05203364SP0809X
OHRN-272863163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
No163W00000XNursing Service ProvidersRegistered Nurse