Individual
DR. MARK ROSSELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD, PHD
Contact information
Practice address
2375 NE 25TH AVE STE 106, OCALA, FL 34470-3973
(352) 350-1619
Mailing address
2375 NE 25TH AVE STE 106, OCALA, FL 34470-3973
(352) 350-1619
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
171400000X
Health & Wellness Coach
—
—
174H00000X
Health Educator
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952765455
—
FL
Enumeration date
06/17/2021
Last updated
10/22/2022
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