Provider Demographics
NPI:1124747415
Name:ROSENKRANTZ, DANIELLE ELYSE (PHD)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:ELYSE
Last Name:ROSENKRANTZ
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 1:11806 BRUCE B DOWNS BLVD # 1115
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-5542
Mailing Address - Country:US
Mailing Address - Phone:813-355-9531
Mailing Address - Fax:
Practice Address - Street 1:11806 BRUCE B DOWNS BLVD # 1115
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-5542
Practice Address - Country:US
Practice Address - Phone:813-355-9531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-22
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY10847103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty