Mrs Rosetta Underwood, MA, EDS is a
Psychologist based in Middlebourne, West Virginia. Mrs Rosetta Underwood is licensed to practice in West Virginia (license number 610) and her current practice location is
495 Park Ave, Middlebourne, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 758-2973.
NPI number for Mrs Rosetta Underwood is 1174718415 and her current mailing address is 495 Park Ave, Middlebourne, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174718415.
Healthcare Provider's Profile
Full Name | Mrs Rosetta Underwood |
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Gender | Female |
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Speciality | Psychologist |
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Location | 495 Park Ave, Middlebourne, West Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174718415
- Provider Enumeration Date: 09/10/2007
- Last Update Date: 09/10/2007
Medical Identifiers
Medical identifiers for Mrs Rosetta Underwood such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174718415 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 610 (West Virginia) | Primary |
103TB0200X | Psychologist - Cognitive & Behavioral | 610 (West Virginia) | Secondary |
103TS0200X | Psychologist - School | 21004 (West Virginia) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Rosetta Underwood is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Rosetta Underwood, MA, EDS 495 Park Ave, Middlebourne, WV 26149-9621 Ph: (304) 758-2973 | Mrs Rosetta Underwood, MA, EDS 495 Park Ave, Middlebourne, WV 26149-9621 Ph: (304) 758-2973 |
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