Doctor Name: | MR. GARRETT LEE ROSAS |
NPI Number: | 1144345307 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSYD |
License Number: | |
Business Practice Address: | 334 York St Gettysburg, PA - 17325 |
Business Phone Number: | 7173370026 |
Business Fax Number: | 7173371260 |
Mailing Address: | 200 North 7th Street, Attn Managed Care LEBANON |
State: | PA |
Postal Code: | 17046 |
Phone Number: | 7172731710 |
Fax Number: | 7172731416 |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 02/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |