Individual
DR. MICHAEL JOSEPH ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
574 TIMBERWYCK DR, FRONTENAC, MO 63131-4715
(314) 966-5033
(314) 977-1006
Mailing address
574 TIMBERWYCK DR, FRONTENAC, MO 63131-4715
(314) 966-5033
(314) 977-1006
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
01222
MO
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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