Organization · Type 2 NPI

Rose Resiliency Center

Prescribing (Medical) Psychologist · Pocono Summit, PA

NPI number 1104261213 Active

Practice location

2557 Route 940, Suite 102
Pocono Summit, PA 18346

Fax (570) 839-5392

Mailing address

PO Box 329
Mount Pocono, PA 18344-0329

Specialties and licenses

TaxonomyCodeLicense
Prescribing (Medical) Psychologist Primary 103TP0016XMD037460L (PA)

Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…

Another provider at this address

About NPI 1104261213

Rose Resiliency Center's National Provider Identifier is 1104261213, issued on May 2, 2013. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Pocono Summit, PA. The record was last updated on May 2, 2013.