Provider Demographics
NPI:1972751980
Name:ROSNER, BETH ANN (PHD)
Entity type:Individual
Prefix:DR
First Name:BETH
Middle Name:ANN
Last Name:ROSNER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6176 STORNOWAY DR S
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-2168
Mailing Address - Country:US
Mailing Address - Phone:614-804-3436
Mailing Address - Fax:
Practice Address - Street 1:6176 STORNOWAY DR S
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-2168
Practice Address - Country:US
Practice Address - Phone:614-804-3436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6192103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent