Individual
DR. SYDNEY RENEE ROSCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC
Contact information
Practice address
501 S 54TH ST, PHILADELPHIA, PA 19143-1900
(445) 428-5800
Mailing address
FILE 57326, LOS ANGELES, CA 90074-0001
(858) 249-6748
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163W00000X
Registered Nurse
95221940
CA
2084P0800X
Psychiatry Physician
95027107
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP031429
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2022
Last updated
03/18/2025
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