Individual
DR. PAUL JEROME ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
912 LILY CREEK RD STE 201, LOUISVILLE, KY 40243-2815
(859) 338-3672
Mailing address
2321 BRIGHTON DR, LOUISVILLE, KY 40205-3042
(502) 852-6223
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
130827
KY
103TC2200X
Clinical Child & Adolescent Psychologist
130827
KY
Other
Enumeration date
06/21/2018
Last updated
12/07/2022
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