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Individual

DR. BENJAMIN PHILIP ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
2100 NAPA VALLEJO HWY, NAPA, CA 94558-6293
(707) 253-5000
Mailing address
2100 NAPA VALLEJO HWY, NAPA, CA 94558-6293
(707) 253-5000

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY22306
CA
103TC0700X
Clinical Psychologist
22306
CA

Other

Enumeration date
12/31/2008
Last updated
06/08/2015
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