| Doctor Name: | DR. ROSALYN ROESEL |
| NPI Number: | 1588779722 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, MSN, PH.D. |
| License Number: | PSY001032 |
| Business Practice Address: | 1983 Delegal Dr Ne Townsend, GA - 313317425 |
| Business Phone Number: | 9126675079 |
| Business Fax Number: | 9128324693 |
| Mailing Address: | 1983 Delegal Dr Ne, TOWNSEND |
| State: | GA |
| Postal Code: | 313317425 |
| Phone Number: | 9126675079 |
| Fax Number: | 9128324693 |
| NPI Enumeration Date: | 08/20/2006 |
| NPI Last Update Date: | 10/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103G00000X |
| License Number: | PSY001032 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Clinical Neuropsychologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |