Provider Demographics
NPI:1992309041
Name:ROZMANIT, MEG ANNE (LMFT)
Entity type:Individual
Prefix:
First Name:MEG
Middle Name:ANNE
Last Name:ROZMANIT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11808 SILVER BIRCH RD
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92883-8435
Mailing Address - Country:US
Mailing Address - Phone:630-440-0372
Mailing Address - Fax:
Practice Address - Street 1:11808 SILVER BIRCH RD
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92883-8435
Practice Address - Country:US
Practice Address - Phone:630-440-0372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-29
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA123736106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist