Individual
DR. KRISTIN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD.
Contact information
Practice address
1215 HALL JOHNSON RD, COLLEYVILLE, TX 76034-7810
(682) 564-5588
(817) 428-9885
Mailing address
1215 HALL JOHNSON RD, COLLEYVILLE, TX 76034-7810
(682) 564-5588
(817) 428-9885
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
34734
TX
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
34734
TX
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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