Provider Demographics
NPI:1861748006
Name:PAPALEO, ROSEMARIE TINA
Entity type:Individual
Prefix:MS
First Name:ROSEMARIE
Middle Name:TINA
Last Name:PAPALEO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 RARITAN REACH RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08879-3439
Mailing Address - Country:US
Mailing Address - Phone:732-428-6444
Mailing Address - Fax:
Practice Address - Street 1:646 HIGHWAY 18
Practice Address - Street 2:SUITE 10-B
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-3722
Practice Address - Country:US
Practice Address - Phone:732-428-6444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-25
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00122600101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health