Provider Demographics
NPI:1124284062
Name:ROSENKRANZ, DIANE S (M ED)
Entity type:Individual
Prefix:MS
First Name:DIANE
Middle Name:S
Last Name:ROSENKRANZ
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 TERRACE AVE
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-1436
Mailing Address - Country:US
Mailing Address - Phone:412-974-7436
Mailing Address - Fax:
Practice Address - Street 1:602 TERRACE AVE
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-1436
Practice Address - Country:US
Practice Address - Phone:412-974-7436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist