Healthcare Provider Details

I. General information

NPI: 1093708364
Provider Name (Legal Business Name): ROST & ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

807 S GEORGE ST
YORK PA
17403-3158
US

IV. Provider business mailing address

807 S GEORGE ST
YORK PA
17403-3158
US

V. Phone/Fax

Practice location:
  • Phone: 717-843-6561
  • Fax: 717-845-6941
Mailing address:
  • Phone: 717-843-6561
  • Fax: 717-845-6941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StatePA

VIII. Authorized Official

Name: POLLY M ROST
Title or Position: CLINICAL DIRECTOR/LIC. PSYCHIATRIST
Credential: PHD
Phone: 717-843-6561