Individual
SAVANNAH ROSE
Active
Individual
SAVANNAH ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
5354-57
WI
103T00000X
Psychologist
5354-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100366615
—
WI
Enumeration date
06/25/2020
Last updated
10/06/2025
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