Individual
DR. SUSAN LINDA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
142 W END AVE APT 1P, NEW YORK, NY 10023-6115
(212) 787-7016
Mailing address
142 W END AVE APT 1P, NEW YORK, NY 10023-6115
(212) 787-7016
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
8275
NY
103TC0700X
Clinical Psychologist
8275
NY
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
8275
NY
103TM1800X
Intellectual & Developmental Disabilities Psychologist
8275
NY
Other
Enumeration date
03/14/2007
Last updated
09/11/2025
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