Organization
ROSE PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA ROLAND ROSE PSY.D. (OWNER)
(404) 532-9246
Entity
Organization
Contact information
Practice address
240 CREEKSTONE RDG, WOODSTOCK, GA 30188-3732
(404) 532-9246
Mailing address
240 CREEKSTONE RDG, WOODSTOCK, GA 30188-3732
(404) 532-9246
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY004066
GA
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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