Provider Demographics
NPI:1730219270
Name:ROZNOS, JUDITH LORRAINE
Entity type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:LORRAINE
Last Name:ROZNOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504 BROOKHOLLOW DR STE 114
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-5418
Mailing Address - Country:US
Mailing Address - Phone:714-881-8600
Mailing Address - Fax:
Practice Address - Street 1:1504 BROOKHOLLOW DR.
Practice Address - Street 2:#114
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704
Practice Address - Country:US
Practice Address - Phone:714-881-8600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health