Individual
DR. STEPHEN DIXON ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
6900 ALDEN DRIVE, ATTN: 90 MDOS/SGOF-FAM HLTH, FE WARREN AFB, WY 82005-3913
(307) 773-3230
(866) 867-7926
Mailing address
6900 ALDEN DRIVE, ATTN: 90MDOS/SGOF - FAM HLTH, FE WARREN AFB, WY 82005-3913
(307) 773-3230
(866) 867-7926
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2542
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55807828
—
CO
Enumeration date
10/02/2006
Last updated
07/03/2013
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