Organization
DR. LAUREN ROSSO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN ROSSO PSYD (OWNER)
(479) 601-2302
Entity
Organization
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
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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