Mary Jo Roseberry in Muncie - Health Service

Mary Jo Roseberry - NPI 1225081599

Mary Jo Roseberry is a Health Service in Muncie, Indiana. Mary Jo Roseberry practices all healthcare services and medical treatments related to Health Service. The NPI Number for Mary Jo Roseberry is 1225081599. The last update date is 2007-07-08.

Mary Jo Roseberry's current location address is 240 N Tillotson Ave, Muncie, Indiana. You can contact this provider via phone number 7652881928 and fax number 7657410340. The mailing address for Mary Jo Roseberry is 240 N Tillotson Ave, Muncie, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Jo Roseberry
Address 240 N Tillotson Ave, Muncie, Indiana
Phone Number 7652881928
Fax Number 7657410340
Sole Proprietor X
Credentials PH.D.

NPI Number Detail

NPI Number 1225081599
Provider Enumeration Date 2006-05-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 240 N Tillotson Ave
City Muncie
State Indiana (IN)
Post Code 473043988
Phone Number 7652881928
Fax Number 7657410340

Provider's Primary Taxonomy Detail

Speciality Health Service
Taxonomy 103Th0100X
Licence No 20010435A
Definition:
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm

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FAQs about Mary Jo Roseberry

What is the Mary Jo Roseberry's unique identification number?

The Mary Jo Roseberry has been assigned the NPI (National Provider Identifier) Number 1225081599 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Mary Jo Roseberry's facilities are geographically located?

The facilities of Mary Jo Roseberry are physically situated at the following location: 240 N Tillotson Ave, Muncie, IN, 473043988.

What is Mary Jo Roseberry's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mary Jo Roseberry is Health Service, and the corresponding taxonomy classification code for this specialized field is 103Th0100X.

On what date did the Centers for Medicare & Medicaid Services issue the 1225081599 to Mary Jo Roseberry?

The Mary Jo Roseberry received its 1225081599 assignment from the Centers for Medicare & Medicaid Services on 2006-05-18.

When was the information pertaining to Mary Jo Roseberry most recently updated or revised?

The details related to Mary Jo Roseberry, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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