MEDICARE: STEPHANIE ROLLS COZZI 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	103T00000X	Psychologist	PS006241L	PA
2	103TC2200X	Clinical Child & Adolescent Psychologist	PS006241L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7611126	OTHER	PA	AETNA
2	2128974000	OTHER	PA	AMERIHEALTH
3	0001445441	OTHER	PA	BLUE CROSS BLUE SHIELD
4	28417000	OTHER	PA	MAGELLAN HEALTH CARE

General Provider Information

NPI Number	:	1992862023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE ROLLS COZZI PH.D.

Provider Business Mailing Address
First Line	:	630 FAIRVIEW RD
Second Line	:	SUITE 207
City	:	SWARTHMORE
State	:	PA
Zip	:	19081-2334
Country	:	US
Telephone Number	:	610-544-9038
Fax Number	:	610-461-8388

Provider Business Practice Location Address
First Line	:	630 FAIRVIEW RD
Second Line	:	SUITE 207
City	:	SWARTHMORE
State	:	PA
Zip	:	19081-2334
Country	:	US
Telephone Number	:	610-544-9038
Fax Number	:	610-461-8388

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

Provider Enumeration Date	:	01/01/2007
Last Update Date	:	09/11/2025

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