Individual
DR. JOANNA LIFSHEY ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1 WASHINGTON AVE STE 4, SANDY HOOK, CT 06482-1363
(203) 482-9274
Mailing address
60 SUGAR LN, NEWTOWN, CT 06470-1768
(203) 482-9274
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
002332
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060002332CT01
ANTHEM BLUE CROSS BLUE SH
CT
01
—
348173
MHN
CT
Enumeration date
11/09/2006
Last updated
07/08/2007
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