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NPI Code Detail

MEDICARE: DR. ALEX ROSENSTEIN PSY.D.

MEDICARE: DR. ALEX ROSENSTEIN PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TB0200XCognitive & Behavioral Psychologist9425MA
2103TC0700XClinical Psychologist9425MA
3103TC2200XClinical Child & Adolescent Psychologist9425MA

General Provider Information

NPI Number : 1619254778
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEX ROSENSTEIN PSY.D.
Provider Business Mailing Address
First Line : 11 CHAPEL PL
Second Line :
City : WELLESLEY HILLS
State : MA
Zip : 02481-3130
Country : US
Telephone Number : 781-591-2085
Fax Number :
Provider Business Practice Location Address
First Line : 11 CHAPEL PL
Second Line :
City : WELLESLEY HILLS
State : MA
Zip : 02481-3130
Country : US
Telephone Number : 617-201-8583
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2011
Last Update Date : 09/05/2012

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