Provider Demographics
NPI:1205598968
Name:ROSALINO, SANDRINA ALINE (MA)
Entity type:Individual
Prefix:MS
First Name:SANDRINA
Middle Name:ALINE
Last Name:ROSALINO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:383 W FOUNTAIN ST # 101
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-3515
Mailing Address - Country:US
Mailing Address - Phone:401-280-9253
Mailing Address - Fax:401-270-1025
Practice Address - Street 1:383 W FOUNTAIN ST # 101
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-3515
Practice Address - Country:US
Practice Address - Phone:401-280-9253
Practice Address - Fax:401-270-1025
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-11
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty