Provider Demographics
NPI:1801213038
Name:ROSKO, DONNA (PSY D)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:
Last Name:ROSKO
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:MISS
Other - First Name:DONNA
Other - Middle Name:
Other - Last Name:BUTTAFUOCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:210 S JUNIPER ST STE 205
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-4200
Mailing Address - Country:US
Mailing Address - Phone:858-883-3529
Mailing Address - Fax:
Practice Address - Street 1:210 S JUNIPER ST STE 205
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-4200
Practice Address - Country:US
Practice Address - Phone:858-883-3529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-26
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY25216103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical