Individual
SUSAN L. ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
301 UNIVERSITY BLVD, PROVIDER ENROLLMENT -- RT. 1022, GALVESTON, TX 77555-1022
(409) 772-2222
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-1022
(409) 747-0890
(409) 772-0885
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
31859
TX
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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