Individual
DR. JEFFERY D ROSENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
23875 COMMERCE PARK RD, SUITE 105, BEACHWOOD, OH 44122-5834
(216) 292-7480
(216) 292-7042
Mailing address
23875 COMMERCE PARK RD, SUITE 105, BEACHWOOD, OH 44122-5834
(216) 292-7480
(216) 292-7042
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2951
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
477578
—
OH
Enumeration date
03/19/2007
Last updated
07/08/2007
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