Individual
STEPHEN M. ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
11 CHAPEL PL, WELLESLEY, MA 02481-3130
(781) 235-4950
Mailing address
11 CHAPEL PL, WELLESLEY, MA 02481-3130
(781) 235-4950
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6483
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
W05238
—
MA
Enumeration date
12/11/2006
Last updated
07/09/2007
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