Provider Demographics
NPI:1881691475
Name:ROSENN, BARBARA HEMLEY (PSYD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:HEMLEY
Last Name:ROSENN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:HEMLEY
Other - Last Name:ROSENN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:26 GARRISON RD
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02482-2305
Mailing Address - Country:US
Mailing Address - Phone:781-237-1477
Mailing Address - Fax:781-237-3410
Practice Address - Street 1:310 WASHINGTON ST
Practice Address - Street 2:STE 203
Practice Address - City:WELLESLEY HILLS
Practice Address - State:MA
Practice Address - Zip Code:02481-4949
Practice Address - Country:US
Practice Address - Phone:781-237-1477
Practice Address - Fax:781-237-3410
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6076103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAWO4868Medicare ID - Type UnspecifiedLICENSED PSYCHOLOGIST