| Doctor Name: | MS. ROSELYN PORTNOFF |
| NPI Number: | 1013175785 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA |
| License Number: | |
| Business Practice Address: | 1639 Forum Pl Ste 7 West Palm Beach, FL - 334012330 |
| Business Phone Number: | 5617128821 |
| Business Fax Number: | 5617128070 |
| Mailing Address: | 1639 Forum Pl Ste 7, WEST PALM BEACH |
| State: | FL |
| Postal Code: | 334012330 |
| Phone Number: | 5617128821 |
| Fax Number: | 5617128070 |
| NPI Enumeration Date: | 05/29/2008 |
| NPI Last Update Date: | 05/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |