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Individual

ROBERT A. ROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
VA MEDICAL CENTER, 2400 HOSPITAL ROAD, TUSKEGEE, AL 36083-5001
(334) 727-0550
(334) 725-3262
Mailing address
722 PATRICK RD, AUBURN, AL 36830-7572
(334) 887-9048

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0344
AL

Other

Enumeration date
08/24/2006
Last updated
07/08/2007
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