Individual
DR. DAVID BRUCE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4824 E BUTLER AVE, FRESNO, CA 93727-5014
(559) 452-1767
(559) 452-1752
Mailing address
4824 E BUTLER AVE, FRESNO, CA 93727-5014
(559) 452-1767
(559) 452-1752
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY13280
CA
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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