| Charlotte M Rosenak Phd Llc | |
|
8575 W 110th St Ste 218 Overland Park KS 66210-2620 | |
| (913) 345-0033 | |
| (913) 345-0177 |
| Full Name | Charlotte M Rosenak Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 8575 W 110th St Ste 218, Overland Park, Kansas |
| Authorized Official Name and Position | Charlotte May Rosenak (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9133450033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charlotte M Rosenak Phd Llc 8575 W 110th St Ste 218 Overland Park KS 66210-2620 Ph: (913) 345-0033 | Charlotte M Rosenak Phd Llc 8575 W 110th St Ste 218 Overland Park KS 66210-2620 Ph: (913) 345-0033 |
| NPI Number | 1710422381 |
|---|---|
| Provider Enumeration Date | 01/05/2017 |
| Last Update Date | 01/05/2017 |
| Medicare PECOS PAC ID | 7315229713 |
|---|---|
| Medicare Enrollment ID | O20170119001984 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710422381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 684 (Kansas) | Primary |
| Provider Name | Charlotte M Rosenak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912932435 PECOS PAC ID: 9830166545 Enrollment ID: I20040913000957 |
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