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DR. PAUL E ROSETE PH.D.

Clinical Neuropsychologist

Port Charlotte, Florida

Provider NPI: 1992702153

Provider Information:
DR. PAUL E ROSETE PH.D.
Gender: M
Sole Proprietor


Practice Location:
3390 TAMIAMI TRL SUITE 104 PORT CHARLOTTE, FL 33952 US
Tel: 941-764-0444  Fax: --

Business Mailing Address:
17140 PLEASURE RD  CAPE CORAL, FL 33909 US
Tel: 941-764-0444  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
FLPY0004258
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
FLPY0004258

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD FL73540FL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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