| Doctor Name: | DR. DANIEL WILLIAM ROSA |
| NPI Number: | 1477621738 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 6100 |
| Business Practice Address: | 10 Adams St Suite 2 North Chelmsford, MA - 018631746 |
| Business Phone Number: | 9782517887 |
| Business Fax Number: | 9782515196 |
| Mailing Address: | 10 Adams St, Suite 2 NORTH CHELMSFORD |
| State: | MA |
| Postal Code: | 018631746 |
| Phone Number: | 9782517887 |
| Fax Number: | 9782515196 |
| NPI Enumeration Date: | 12/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |