Individual
DR. BEVERLY MANLEY ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BEVERLY MANLEY ROSE
Contact information
Practice address
10845 LINDBROOK DR, 207, LOS ANGELES, CA 90024-3042
(310) 208-4122
Mailing address
10845 LINDBROOK DR, 207, LOS ANGELES, CA 90024-3042
(310) 208-4122
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
CP5261
CA
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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