Doctor Name: | DR. ROSA N LAVERGNE |
NPI Number: | 1033411681 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 37RT00288300 |
Business Practice Address: | 268 Edgemont Ter Teaneck, NJ - 076663404 |
Business Phone Number: | 2014461898 |
Business Fax Number: | 2014901753 |
Mailing Address: | 1780 Amsterdam Ave, NEW YORK |
State: | NY |
Postal Code: | 100313513 |
Phone Number: | 2014461898 |
Fax Number: | 2014901753 |
NPI Enumeration Date: | 12/01/2010 |
NPI Last Update Date: | 12/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 37RT00288300 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |