| Organization Name: | C VAN ROSEN PHD PC |
| NPI Number: | 1043485543 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | C VAN ROSEN (PRESIDENT) |
| Mailing Address: | 28980 Hwy 98 Suite 1 Daphne |
| State: | AL US |
| Postal Code: | 365267283 |
| Phone Number: | 2516212990 |
| Fax Number: | 2516212921 |
| NPI Enumeration Date: | 04/25/2008 |
| NPI Last Update Date: | 04/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |