Individual
DR. MITCHEL D. ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
224 CLARENDON ST, SUITE 22, BOSTON, MA 02116-3729
(617) 262-3751
Mailing address
224 CLARENDON ST, SUITE 22, BOSTON, MA 02116-3729
(617) 262-3751
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2252
MA
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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