Individual
DONNA T. ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1002 LINCOLN AVE, BARABOO, WI 53913-1808
(608) 356-9055
(608) 356-5447
Mailing address
1002 LINCOLN AVE, BARABOO, WI 53913-1808
(608) 356-9055
(608) 356-5447
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1896-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39111600
—
WI
Enumeration date
06/13/2006
Last updated
05/14/2013
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