Individual
DR. AMY M ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1515 E MISSOURI AVE, SUITE 110, PHOENIX, AZ 85014-2446
(602) 274-1928
Mailing address
1515 E MISSOURI AVE, SUITE 110, PHOENIX, AZ 85014-2446
(602) 274-1928
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
4275
AZ
103TS0200X
School Psychologist
3342581
AZ
Other
Enumeration date
01/03/2011
Last updated
01/06/2016
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