Provider Demographics
NPI:1962532598
Name:VANMETER, ROZ (MA, LMFT)
Entity type:Individual
Prefix:
First Name:ROZ
Middle Name:
Last Name:VANMETER
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:ROSELLE
Other - Middle Name:H
Other - Last Name:VAN METER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LMFT
Mailing Address - Street 1:5445 LA SIERRA DR
Mailing Address - Street 2:SUITE 313
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4139
Mailing Address - Country:US
Mailing Address - Phone:214-361-0500
Mailing Address - Fax:
Practice Address - Street 1:5445 LA SIERRA DR
Practice Address - Street 2:SUITE 313
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4139
Practice Address - Country:US
Practice Address - Phone:214-361-0500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000353-031365106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist