Individual
BETH NANCY ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
334 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017
(859) 301-5901
(859) 301-5940
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 301-5901
(859) 301-5940
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
175058
KY
103T00000X
Psychologist
6311
MA
103T00000X
Psychologist
PS00608
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100512140
—
KY
01
—
K260920
KY MEDICARE
KY
Enumeration date
09/20/2006
Last updated
08/30/2018
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