Provider Demographics
NPI:1215054176
Name:STANLEY AND BLANCHE ROSNER LLC
Entity type:Organization
Organization Name:STANLEY AND BLANCHE ROSNER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSNER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:203-329-1578
Mailing Address - Street 1:415 SAWMILL RD
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06903-3508
Mailing Address - Country:US
Mailing Address - Phone:203-329-1578
Mailing Address - Fax:203-329-0514
Practice Address - Street 1:415 SAWMILL RD
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06903-3508
Practice Address - Country:US
Practice Address - Phone:203-329-1578
Practice Address - Fax:203-329-0514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001912103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty