Individual
DR. GARY S ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
229 BILLERICA RD, CHELMSFORD, MA 01824-3603
(978) 250-8400
Mailing address
7 COACHMEN LN, BEDFORD, MA 01730-2027
(978) 250-8400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3515
MA
103TC0700X
Clinical Psychologist
839
ME
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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