Individual
MS. ANNE KATHLEEN ROSEBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3 GATES CIR, CHILD & ADOLESCENT PSYCHIATRY - 8TH FLOOR, BUFFALO, NY 14209-1120
(716) 887-5788
(716) 887-5801
Mailing address
3 GATES CIR, CHILD & ADOLESCENT PSYCHIATRY - 8TH FLOOR, BUFFALO, NY 14209-1120
(716) 887-5788
(716) 887-5801
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R026994-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000590297001
BLUE CROSS PROV #
NY
01
—
6190467
INDEPEN. HEALTH PROV #
NY
Enumeration date
02/06/2007
Last updated
07/08/2007
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