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Organization
MICHAEL D. ROSBERG PHD A PSYCHOLOGICAL CORPORATION
Active
Organization
MICHAEL D. ROSBERG PHD A PSYCHOLOGICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONETTA JACKSON MFT (ADMINISTRATOR)
(323) 318-2520
Entity
Organization
Contact information
Practice address
23622 CALABASAS RD, SUITE 151, CALABASAS, CA 91302-1549
(818) 693-5830
Mailing address
2457 ENDICOTT ST, LOS ANGELES, CA 90032-3047
(323) 227-5252
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY15355
CA
Other
Enumeration date
04/30/2013
Last updated
06/09/2014
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