Individual
MRS. SANDRA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
548 PARK AVE, WORCESTER, MA 01603-2537
(774) 823-1500
Mailing address
2001 S BARRINGTON AVE, SUITE 309, LOS ANGELES, CA 90025
(323) 457-3370
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
106H00000X
Marriage & Family Therapist
Primary
AMFT141488
CA
Other
Enumeration date
05/08/2012
Last updated
09/05/2025
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