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Individual

MR. ROSS LOWELL MAYBERRY

Active
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Individual

MR. ROSS LOWELL MAYBERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
WAPSY1297
WA
103TC1900X
Counseling Psychologist
PSY 1297
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
91-1985428
TAX ID #
—
Enumeration date
11/15/2006
Last updated
01/25/2024
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