Individual
KATE JEAN ROSSELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4225 UNIVERSITY AVE, SCHUSTERCENTER, THIRD FLOOR, COLUMBUS, GA 31907-5679
(706) 507-8741
Mailing address
4225 UNIVERSITY AVE, SCHUSTERCENTER, THIRD FLOOR, COLUMBUS, GA 31907-5679
(706) 507-8741
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY003267
GA
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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