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Individual

ALLYSON C. ROSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D., ABPP-CN

Contact information

Practice address
3801 MIRANDA AVE # 151Y, PALO ALTO VA MEDICAL CENTER, PALO ALTO, CA 94304-1207
(650) 493-5000
Mailing address
866 GARLAND DR, PALO ALTO, CA 94303-3605
(650) 279-3949

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
17777
CA
103G00000X
Clinical Neuropsychologist
1975-057
WI
103G00000X
Clinical Neuropsychologist
7083
MA
103TA0700X
Adult Development & Aging Psychologist
17777
CA
103TA0700X
Adult Development & Aging Psychologist
1975-057
WI
103TA0700X
Adult Development & Aging Psychologist
7083
MA
103TC0700X
Clinical Psychologist
17777
CA
103TC0700X
Clinical Psychologist
1975-057
WI
103TC0700X
Clinical Psychologist
7083
MA

Other

Enumeration date
09/29/2008
Last updated
09/29/2008
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