Healthcare Provider Details

I. General information

NPI: 1699987248
Provider Name (Legal Business Name): KAREN M. ROSSMAN PHD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 E INTERCITY AVE SUITE A
EVERETT WA
98208-2732
US

IV. Provider business mailing address

127 E INTERCITY AVE SUITE A
EVERETT WA
98208-2732
US

V. Phone/Fax

Practice location:
  • Phone: 425-347-7275
  • Fax: 425-355-0626
Mailing address:
  • Phone: 425-347-7275
  • Fax: 425-355-0626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPY00001970
License Number StateWA

VIII. Authorized Official

Name: DR. KAREN MARY ROSSMAN
Title or Position: PSYCHOLOGIST
Credential: PHD
Phone: 425-347-7275