Provider Demographics
NPI:1992784946
Name:ZIEGLER, ROSILENE (PHD)
Entity type:Individual
Prefix:DR
First Name:ROSILENE
Middle Name:
Last Name:ZIEGLER
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 1:4601 LAKE BOONE TRL
Mailing Address - Street 2:GARDEN SUITE
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-7503
Mailing Address - Country:US
Mailing Address - Phone:919-406-6908
Mailing Address - Fax:
Practice Address - Street 1:4601 LAKE BOONE TRL
Practice Address - Street 2:GARDEN SUITE
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-7503
Practice Address - Country:US
Practice Address - Phone:919-406-6908
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC598103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0403AOtherBLUE CROSS BLUE SHIELD
NC2819811Medicare ID - Type Unspecified
NC0403AOtherBLUE CROSS BLUE SHIELD