Individual
DR. DEBORAH L. ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
15 HYDE PARK, BEACHWOOD, OH 44122-7536
(440) 460-1500
Mailing address
PO BOX 660, MENTOR, OH 44061-0660
(440) 460-1500
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
2675
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000146378
ANTHEM
OH
01
—
021229000
MAGELLAN
OH
05
—
0608088
—
OH
Enumeration date
07/06/2006
Last updated
08/06/2024
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