Individual
KIMBERLY ROSANIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
PSY31168
CA
Other
Enumeration date
09/14/2015
Last updated
08/27/2019
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