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Individual

DR. RYAN ROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
987 S HIGH ST, COLUMBUS, OH 43206-2527
(614) 468-8184
Mailing address
1486 WAYNE TRACE RD, EATON, OH 45320-9483

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P.08119
OH

Other

Enumeration date
03/18/2021
Last updated
03/18/2021
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