Individual
DR. JANE H. ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3622 LYCKAN PKWY, SUITE 4003, DURHAM, NC 27707-2564
(919) 490-8473
(919) 401-6610
Mailing address
472 FEARRINGTON POST, PITTSBORO, NC 27312-8500
(919) 542-3210
(919) 401-6610
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2305
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0445W
BCBS PSYCHOLOGIST
NC
05
—
6000300
—
NC
Enumeration date
10/29/2006
Last updated
07/09/2007
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