Provider Demographics
NPI:1942661103
Name:KAREN ROSENBERGER
Entity Type:Organization
Organization Name:KAREN ROSENBERGER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:267-736-4454
Mailing Address - Street 1:121 E CHESTNUT ST
Mailing Address - Street 2:202
Mailing Address - City:SOUDERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18964-1179
Mailing Address - Country:US
Mailing Address - Phone:267-736-4454
Mailing Address - Fax:
Practice Address - Street 1:121 E CHESTNUT ST
Practice Address - Street 2:202
Practice Address - City:SOUDERTON
Practice Address - State:PA
Practice Address - Zip Code:18964-1179
Practice Address - Country:US
Practice Address - Phone:267-736-4454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-16
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS008754L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty