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Individual

LYNDA J ROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D

Contact information

Practice address
2450 VASSAR ST, 3A, RENO, NV 89502
(775) 219-9015
(775) 853-8545
Mailing address
1285 SPICE ISLANDS DR, SPARKS, NV 89431
(775) 219-9015
(775) 853-8545

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0632
NV
106H00000X
Marriage & Family Therapist
IP100514
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
V107908
NV
Enumeration date
07/26/2010
Last updated
03/06/2015
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