Individual
DR. DEBORAH ROZELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
205 WATERMAN ST STE 105, PROVIDENCE, RI 02906-4313
(781) 862-4800
(401) 252-4203
Mailing address
205 WATERMAN ST STE 105, PROVIDENCE, RI 02906-4313
(781) 862-4800
(401) 252-4203
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3728
MA
103TC0700X
Clinical Psychologist
7589
MA
103TC0700X
Clinical Psychologist
Primary
PS01896
RI
103TC2200X
Clinical Child & Adolescent Psychologist
7589
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154429454-7698
BCBS OF RI
RI
Enumeration date
09/20/2006
Last updated
08/20/2021
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