Provider Demographics
NPI:1871265470
Name:ROSA, VIOMARGARY E (BS)
Entity type:Individual
Prefix:
First Name:VIOMARGARY
Middle Name:E
Last Name:ROSA
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2029 W LIVINGSTON ST APT 1
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-3709
Mailing Address - Country:US
Mailing Address - Phone:347-832-8297
Mailing Address - Fax:
Practice Address - Street 1:2029 W LIVINGSTON ST APT 1
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-3709
Practice Address - Country:US
Practice Address - Phone:347-832-8297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor