Individual
JENNIFER ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
200 GORDON AVE, THOMASVILLE, GA 31792-6640
(229) 226-0741
(229) 227-9360
Mailing address
200 GORDON AVE, THOMASVILLE, GA 31792-6640
(229) 226-0741
(229) 227-9360
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY004295
GA
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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