Individual
DR. LAUREN ROSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
19 E MOUNTAIN ST STE 5, FAYETTEVILLE, AR 72701-6067
(479) 308-8530
Mailing address
1132 N OAK DR, FAYETTEVILLE, AR 72701-1618
(479) 601-2302
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
18-18P
AR
Other
Enumeration date
08/12/2019
Last updated
09/24/2020
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