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Individual
BETH NANCY ROSEN
Active
Individual
BETH NANCY ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
175058
KY
103T00000X
Psychologist
6311
MA
103T00000X
Psychologist
PS00608
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100512140
—
KY
01
—
K260920
KY MEDICARE
KY
Enumeration date
09/20/2006
Last updated
08/30/2018
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