Individual
TAYLER ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 BURNS ST, FITCHBURG, MA 01420-3701
(503) 913-3989
Mailing address
1 BURNS ST, FITCHBURG, MA 01420-3701
(503) 913-3989
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LMHC10000639
MA
103TC0700X
Clinical Psychologist
Primary
PSY10000991
MA
Other
Enumeration date
01/08/2018
Last updated
04/24/2025
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