Provider Demographics
NPI:1457410318
Name:ROSENTHAL, TARYN CORAL (MS)
Entity Type:Individual
Prefix:
First Name:TARYN
Middle Name:CORAL
Last Name:ROSENTHAL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13986 SIERRA KNOLLS CT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-2978
Mailing Address - Country:US
Mailing Address - Phone:608-628-0991
Mailing Address - Fax:
Practice Address - Street 1:13986 SIERRA KNOLLS CT
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80921-2978
Practice Address - Country:US
Practice Address - Phone:608-628-0991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-07
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS