| Caryl H. Rosen, Ph.d. And Associates, Inc | |
|
9250 Columbia Ave Ste 2f Munster IN 46321-3530 | |
| (219) 201-0711 | |
| (219) 836-6445 |
| Full Name | Caryl H. Rosen, Ph.d. And Associates, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 9250 Columbia Ave Ste 2f, Munster, Indiana |
| Authorized Official Name and Position | Caryl H Rosen (PRESIDENT) |
| Authorized Official Contact | 2192010711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caryl H. Rosen, Ph.d. And Associates, Inc 9250 Columbia Ave Ste 2f Munster IN 46321-3530 Ph: (219) 201-0711 | Caryl H. Rosen, Ph.d. And Associates, Inc 9250 Columbia Ave Ste 2f Munster IN 46321-3530 Ph: (219) 201-0711 |
| NPI Number | 1558685909 |
|---|---|
| Provider Enumeration Date | 03/15/2010 |
| Last Update Date | 08/01/2019 |
| Medicare PECOS PAC ID | 6406182112 |
|---|---|
| Medicare Enrollment ID | O20190801001241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558685909 | NPI | - | NPPES |
| 90000882 | Other | IL | BLUE CROSS BLUE SHIELD OF ILLINOIS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Caryl H Rosen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851460968 PECOS PAC ID: 6305172016 Enrollment ID: I20190802001260 |
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