# AMY M ROUSE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1942612650
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | LP03153 | RI | — |
| 2084N0400X | Neurology Physician | LP03153 | RI | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | LP03153 | RI | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | MD2019-0714 | NM | Yes |

## Other

- **Enumeration date:** 05/29/2014
- **Last updated:** 10/14/2024