Provider Demographics
NPI:1730980343
Name:ROGALSKY, KAREN G
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:G
Last Name:ROGALSKY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:724 YORKLYN RD STE 315
Mailing Address - Street 2:
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707-8733
Mailing Address - Country:US
Mailing Address - Phone:610-306-5637
Mailing Address - Fax:
Practice Address - Street 1:3524 SILVERSIDE RD STE 34
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4929
Practice Address - Country:US
Practice Address - Phone:610-306-5637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEFA-0010021106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist