Individual
DR. KERI L ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
23560 LYONS AVE, SUITE 205, SANTA CLARITA, CA 91321-2521
(661) 287-3751
Mailing address
23560 LYONS AVE, SUITE 205, SANTA CLARITA, CA 91321-2521
(661) 287-3751
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY17660
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY17660
LICENSE NUMBER
CA
Enumeration date
11/11/2006
Last updated
07/08/2007
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