Individual
CONNOR LAWRENCE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2551 CHARNEY RD, UNIVERSITY HEIGHTS, OH 44118-4402
(503) 558-5887
Mailing address
2551 CHARNEY RD, UNIVERSITY HEIGHTS, OH 44118-4402
(503) 558-5887
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810007422
VA
Other
Enumeration date
05/02/2016
Last updated
10/16/2024
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