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Contact Information

ROSALYN ROESEL, RN, MSN, PH.D.
1983 DELEGAL DR NE
TOWNSEND, GA31331-7425
 Phone: 912-667-5079
 Fax: 912-832-4693
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
 

Family

103TF0000X 62 Psychologist, Clinical
 

Forensic

103TF0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ROSALYN ROESEL · (Female)

NPI Number 1588779722
Status Active
Credentials RN, MSN, PH.D.
Entity Individual
Enumeration date 08/20/2006
Last updated 10/09/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # PSY001032
  • GA Medicaid 000366627A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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