DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BRENDA ROUSSEL

MEDICARE: BRENDA ROUSSEL
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
1103K00000XBehavior Analyst1-13-15021ZZ

General Provider Information

NPI Number : 1174940563
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA ROUSSEL
Provider Business Mailing Address
First Line : 14500 BUSTLETON AVE
Second Line : SUITE 1A
City : PHILADELPHIA
State : PA
Zip : 19116-1188
Country : US
Telephone Number : 215-613-6523
Fax Number : 215-613-6527
Provider Business Practice Location Address
First Line : 3 BRIDGE ST
Second Line : PHYSICAL THERAPY SUITE
City : CARTHAGE
State : NY
Zip : 13619-1360
Country : US
Telephone Number : 315-493-1395
Fax Number : 315-493-1417
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2014
Last Update Date : 03/24/2014

Similar Medicare Providers

1043543432 — DR. NATASHA WILLIS P.T.
Practice Location Address:
3 BRIDGE ST
CARTHAGE, NY
13619-1360
Practice Phone: 315-493-1340
Practice Fax:
1679838437 — NARMEEN MINHAS DMD
Practice Location Address:
3 BRIDGE ST
CARTHAGE, NY
13619-1360
Practice Phone: 315-493-3510
Practice Fax:
1801233168 — STEPHANY J WORTHINGTON
Practice Location Address:
3 BRIDGE ST
CARTHAGE, NY
13619-1360
Practice Phone: 315-493-3300
Practice Fax: 315-493-3306
1295172310 — VALLEEN HORSEY LMSW
Practice Location Address:
3 BRIDGE ST
CARTHAGE, NY
13619-1360
Practice Phone: 315-493-3300
Practice Fax: 315-493-0306
1508289919 — VIOLET MGENI BARUTI PHMNP
Practice Location Address:
3 BRIDGE ST
CARTHAGE, NY
13619-1360
Practice Phone: 713-382-5890
Practice Fax:
1801219092 — EXCEPTIONAL KIDZ REHABILITATION
Practice Location Address:
3 BRIDGE ST , PHYSICAL THERAPY SUITE
CARTHAGE, NY
13619-1360
Practice Phone: 215-613-6523
Practice Fax:

Directions to “ BRENDA ROUSSEL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.