Individual
ELIZABETH ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
57027 SELECTA AVE, YUCCA VALLEY, CA 92284-9505
(310) 579-5095
Mailing address
57027 SELECTA AVE, YUCCA VALLEY, CA 92284-9505
(310) 579-5095
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY29789
CA
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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