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Individual
DR. JONATHON M ROSE
Active
Individual
DR. JONATHON M ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY12143
CA
103T00000X
Psychologist
PSY12143
CA
103TA0700X
Adult Development & Aging Psychologist
Primary
PSY12143
CA
103TC0700X
Clinical Psychologist
PSY12143
CA
103TF0200X
Forensic Psychologist
PSY12143
CA
103TH0100X
Health Service Psychologist
PSY12143
CA
103TR0400X
Rehabilitation Psychologist
PSY12143
CA
Other
Enumeration date
03/29/2006
Last updated
07/29/2010
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