MEDICARE: DR. ROSALIE LOBER PH.D.

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
1	103TC1900X	Counseling Psychologist	PY7711	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518293257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROSALIE LOBER PH.D.

Provider Business Mailing Address
First Line	:	3217 VINCENT RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33405-1638
Country	:	US
Telephone Number	:	203-981-4071
Fax Number	:

Provider Business Practice Location Address
First Line	:	3217 VINCENT RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33405-1638
Country	:	US
Telephone Number	:	203-981-4071
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2009
Last Update Date	:	10/31/2009

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Directions to “ DR. ROSALIE LOBER PH.D.” Practice Location

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