Healthcare Provider Details

I. General information

NPI: 1992862023
Provider Name (Legal Business Name): STEPHANIE ROLLS COZZI PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/01/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 FAIRVIEW RD SUITE 207
SWARTHMORE PA
19081-2334
US

IV. Provider business mailing address

630 FAIRVIEW RD SUITE 207
SWARTHMORE PA
19081-2334
US

V. Phone/Fax

Practice location:
  • Phone: 610-544-9038
  • Fax: 610-461-8388
Mailing address:
  • Phone: 610-544-9038
  • Fax: 610-461-8388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS006241L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPS006241L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier7611126
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerAETNA
# 2
Identifier2128974000
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerAMERIHEALTH
# 3
Identifier0001445441
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerBLUE CROSS BLUE SHIELD
# 4
Identifier28417000
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerMAGELLAN HEALTH CARE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: