Provider Demographics
NPI:1538198775
Name:ROSENSTEIN, HARRIET (PHD, LICSW)
Entity type:Individual
Prefix:MS
First Name:HARRIET
Middle Name:
Last Name:ROSENSTEIN
Suffix:
Gender:F
Credentials:PHD, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 CENTRE ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-2803
Mailing Address - Country:US
Mailing Address - Phone:617-739-7480
Mailing Address - Fax:
Practice Address - Street 1:53 CENTRE ST
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-2803
Practice Address - Country:US
Practice Address - Phone:617-739-7480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1069871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical