Individual
DR. BRIGID ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2001 DWIGHT WAY, BERKELEY, CA 94704-2608
(510) 204-5568
Mailing address
151 LEONARD DR, CONCORD, CA 94518-1212
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY21964
CA
103T00000X
Psychologist
PSY21964
CA
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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