Individual
DANIEL J ROSENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1012 E WILLETTA ST, 3RD FLOOR AND 5TH FLOOR, PHOENIX, AZ 85006-2749
(602) 239-2361
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
(602) 495-4577
(602) 417-3549
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3323
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
912221
—
AZ
Enumeration date
03/24/2006
Last updated
06/22/2011
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