Individual
ELAINE ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
11835 W OLYMPIC BLVD STE 1265E, LOS ANGELES, CA 90064
(310) 994-6499
(310) 273-5056
Mailing address
11835 W OLYMPIC BLVD STE 1265E, LOS ANGELES, CA 90064-5814
(310) 994-6499
(310) 273-5056
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY25386
CA
Other
Enumeration date
07/21/2011
Last updated
02/06/2019
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