Provider Demographics
NPI:1962946657
Name:ROSEWOOD, TORISHA DREW
Entity type:Individual
Prefix:MRS
First Name:TORISHA
Middle Name:DREW
Last Name:ROSEWOOD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TORISHA
Other - Middle Name:DREW
Other - Last Name:GALLOWAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:234 WAIANUENUE AVE STE 215
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-2418
Mailing Address - Country:US
Mailing Address - Phone:808-935-7949
Mailing Address - Fax:808-934-8318
Practice Address - Street 1:234 WAIANUENUE AVE STE 215
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2418
Practice Address - Country:US
Practice Address - Phone:808-935-7949
Practice Address - Fax:808-934-8318
Is Sole Proprietor?:No
Enumeration Date:2016-12-14
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst