Individual
DR. MICHAEL BARRY ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6192 OXON HILL RD, SUITE 403, OXON HILL, MD 20745-3143
(301) 567-7791
(301) 567-7795
Mailing address
6208 SYDNEY RD, SUITE 403, FAIRFAX STATION, VA 22039-1689
(301) 567-7791
(301) 567-7795
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00977
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115011100
—
MD
Enumeration date
12/28/2006
Last updated
01/20/2016
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