Individual
EILEEN H ROSENDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
585 PLANDOME RD, SUITE 106, MANHASSET, NY 11030-1971
(516) 869-8877
(516) 869-8877
Mailing address
585 PLANDOME RD, SUITE 106, MANHASSET, NY 11030-1971
(516) 869-8877
(516) 869-8877
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
011615
NY
103TC0700X
Clinical Psychologist
011615
NY
103TH0100X
Health Service Psychologist
011615
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01459750
—
NY
01
—
AS972
OXFORD
NY
01
—
V7C833
EMPIRE BC/BS G. NECK OFF
NY
01
—
VN1131
EMPIRE BC/BS MANHASSET OF
NY
Enumeration date
08/18/2006
Last updated
12/10/2015
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