Provider Demographics
NPI:1205059250
Name:MYERS, ROSEANNE TASHIE (MS, NCC, LPC)
Entity type:Individual
Prefix:MRS
First Name:ROSEANNE
Middle Name:TASHIE
Last Name:MYERS
Suffix:
Gender:F
Credentials:MS, NCC, LPC
Other - Prefix:
Other - First Name:ROSEANNE
Other - Middle Name:
Other - Last Name:DITOMASSO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:335 BOWYER LN.
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543
Mailing Address - Country:US
Mailing Address - Phone:717-208-2149
Mailing Address - Fax:717-560-3995
Practice Address - Street 1:313 W LIBERTY ST STE 228
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-2791
Practice Address - Country:US
Practice Address - Phone:717-208-2149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006591101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional