Individual
DR. ROSE M. LIKENESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
765 SHAVERTOWN RD, GARNET VALLEY, PA 19061-1107
(610) 358-6067
(610) 358-6067
Mailing address
765 SHAVERTOWN RD, GARNET VALLEY, PA 19061-1107
(610) 358-6067
(610) 358-6067
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS016382
PA
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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