| Doctor Name: | DR. KENT ROSENGREN |
| NPI Number: | 1457323941 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | 6467067-2501 |
| Business Practice Address: | 20 13th St W Havre, MT - 595015215 |
| Business Phone Number: | 4063901902 |
| Business Fax Number: | |
| Mailing Address: | 900 4th Ave, HAVRE |
| State: | MT |
| Postal Code: | 595014506 |
| Phone Number: | 4063901902 |
| Fax Number: | |
| NPI Enumeration Date: | 02/07/2006 |
| NPI Last Update Date: | 01/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6467067-2501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |