Individual
DR. SHEENA ELIZABETH ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1922 EXETER ROAD, SUITE 106, GERMANTOWN, TN 38138
(901) 759-0984
(662) 838-6724
Mailing address
1922 EXETER ROAD, SUITE 106, GERMANTOWN, TN 38138
(901) 759-0984
(662) 838-6724
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P839
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3008998
—
TN
01
—
44706
NATIONAL REGISTER
—
Enumeration date
09/27/2006
Last updated
07/08/2007
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