Organization
GARY S. ROSE PH.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY ROSE PH.D. (PARTNER)
(978) 250-8400
Entity
Organization
Contact information
Practice address
45 WALDEN ST STE 1, CONCORD, MA 01742-2513
(978) 250-8400
Mailing address
7 COACHMEN LN, BEDFORD, MA 01730-2027
(978) 250-8400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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