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NPI Code Detail

MEDICARE: HEATHER ROSENBAUM THERAPY SERVICES

MEDICARE: HEATHER ROSENBAUM THERAPY SERVICES
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1922895341
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEATHER ROSENBAUM THERAPY SERVICES
Provider Business Mailing Address
First Line : 31 SILVER RIDGE CMN
Second Line :
City : WESTON
State : CT
Zip : 06883-2447
Country : US
Telephone Number : 203-640-0777
Fax Number :
Provider Business Practice Location Address
First Line : 31 SILVER RIDGE CMN
Second Line :
City : WESTON
State : CT
Zip : 06883-2447
Country : US
Telephone Number : 203-640-0777
Fax Number :
Authorized Official
Title or Position : THERAPIST
Name : HEATHER ROSENBAUM
Credential : LCSW
Telephone Number : 203-640-0777
Provider Enumeration Date : 04/21/2025
Last Update Date : 04/21/2025

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Directions to “HEATHER ROSENBAUM THERAPY SERVICES ” Practice Location

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