Provider Demographics
NPI:1902234339
Name:YOUNEN, ROSETTE YOUSSEF (MD)
Entity Type:Individual
Prefix:MS
First Name:ROSETTE
Middle Name:YOUSSEF
Last Name:YOUNEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 NEPONSET ST APT 5
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3607
Mailing Address - Country:US
Mailing Address - Phone:617-429-2932
Mailing Address - Fax:
Practice Address - Street 1:555 AMORY ST STE 3
Practice Address - Street 2:
Practice Address - City:JAMAICA PLAIN
Practice Address - State:MA
Practice Address - Zip Code:02130-2672
Practice Address - Country:US
Practice Address - Phone:781-484-8261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-22
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health