Provider Demographics
NPI:1174246979
Name:ROSENBERG, ALLISON JANE (MA NCC)
Entity type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:JANE
Last Name:ROSENBERG
Suffix:
Gender:F
Credentials:MA NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:11 EMBASSY RD APT 37
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-4633
Mailing Address - Country:US
Mailing Address - Phone:847-204-7744
Mailing Address - Fax:
Practice Address - Street 1:10 TOWER OFFICE PARK STE 401
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-2120
Practice Address - Country:US
Practice Address - Phone:781-935-1310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst