Provider Demographics
NPI:1659242238
Name:ROSENSTEIN, LIA KATHLEEN (PHD)
Entity type:Individual
Prefix:
First Name:LIA
Middle Name:KATHLEEN
Last Name:ROSENSTEIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 FISCHER RD
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PARK
Mailing Address - State:PA
Mailing Address - Zip Code:16802-4604
Mailing Address - Country:US
Mailing Address - Phone:814-865-2191
Mailing Address - Fax:814-865-2191
Practice Address - Street 1:138 FISCHER RD
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PARK
Practice Address - State:PA
Practice Address - Zip Code:16802-4604
Practice Address - Country:US
Practice Address - Phone:814-865-2191
Practice Address - Fax:814-865-2191
Is Sole Proprietor?:No
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS020580103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist