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DR. ROSALYN ROESEL RN, MSN, PH.D.

Clinical Neuropsychologist

Townsend, Georgia

Provider NPI: 1588779722

Provider Information:
DR. ROSALYN  ROESEL RN, MSN, PH.D.
Gender: F
Sole Proprietor


Practice Location:
1983 DELEGAL DR NE  TOWNSEND, GA 31331 US
Tel: 912-667-5079  Fax: 912-832-4693

Business Mailing Address:
1983 DELEGAL DR NE  TOWNSEND, GA 31331 US
Tel: 912-667-5079  Fax: 912-832-4693

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
GAPSY001032
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
GAPSY001032
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
GAPSY001032
N103TF0000XBehavioral Health & Social Service Providers
Psychologist
GAPSY001032
N103TF0200XBehavioral Health & Social Service Providers
Psychologist
GAPSY001032

Other Provider Identifiers:

IssuerNumberStateType
000366627AGA05
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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