Dr. Mary Ann Derosa, PHD
Psychologist, Clinical in Montville, New Jersey
1083737902- Practice location
- 9 Virginia RD, Montville, NJ 07045-9209
- Phone
- 973-299-9868
- Fax
- 973-299-9868
- Last updated
- July 8, 2007
Mary Ann Derosa is a Psychologist, Clinical based in Montville, NJ. Mary Ann Derosa practices in Montville, NJ and has the professional credentials of PHD. The NPI Number for Mary Ann Derosa is 1083737902 and holds a License No. 35S100371200 (NJ). The current practice location address for Mary Ann Derosa is 9 Virginia RD, Montville, NJ 07045-9209 and can be reached out via phone at 973-299-9868 and via fax at 973-299-9868.
Provider Profile Details
- NPI Number
- 1083737902
- Provider Name
- Mary Ann Derosa
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 9 Virginia RD, Montville, NJ 07045-9209
- Phone Number
- 973-299-9868
- Fax Number
- 973-299-9868
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 7, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 9 Virginia RD
Montville, NJ 07045-9209 - City
- Montville
- State
- New Jersey
- Zip
- 07045-9209
- Phone Number
- 973-299-9868
- Fax Number
- 973-299-9868
Provider Business Mailing Address Details
- Address
- 9 Virginia RD
Montville, NJ 07045-9209 - City
- Montville
- State
- NJ
- Zip
- 07045-9209
- Phone Number
- 973-299-9868
- Fax Number
- 973-299-9868
License Information
- License Number
- 35S100371200
- License State
- NJ
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Mary Ann Derosa, PHD?
The NPI number of Dr. Mary Ann Derosa, PHD is 1083737902. It was assigned on April 7, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Mary Ann Derosa, PHD?
Dr. Mary Ann Derosa, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 35S100371200.
Where does Dr. Mary Ann Derosa, PHD practice?
The practice location is 9 Virginia RD, Montville, NJ 07045-9209. The office can be reached at 973-299-9868 (phone) or 973-299-9868 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083737902 directly on the NPPES registry website.