Provider Demographics
NPI:1538920574
Name:ROSEN, KARLI BROOKE (MFT)
Entity type:Individual
Prefix:
First Name:KARLI
Middle Name:BROOKE
Last Name:ROSEN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 ELKINS AVE
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-1204
Mailing Address - Country:US
Mailing Address - Phone:610-937-0507
Mailing Address - Fax:
Practice Address - Street 1:2005 MARKET ST STE 3140
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-7001
Practice Address - Country:US
Practice Address - Phone:215-636-9797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist