Individual
DR. BETH ROOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6220 LA SALLE AVE, OAKLAND, CA 94611-2804
(510) 339-1299
Mailing address
6220 LA SALLE AVE, OAKLAND, CA 94611-2804
(510) 339-1299
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 9907
CA
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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