Individual
BENJAMIN ROOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
595 E COLORADO BLVD STE 610, PASADENA, CA 91101-2015
(626) 344-0232
Mailing address
141 SAN PASCUAL AVE APT 3, LOS ANGELES, CA 90042-3763
(626) 344-0232
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
11421644-2504
UT
103T00000X
Psychologist
Primary
33538
CA
Other
Enumeration date
09/24/2019
Last updated
08/23/2022
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