Individual
DR. JAKE DYLAN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
351 MANVILLE RD STE 109, PLEASANTVILLE, NY 10570-2166
(914) 919-9309
Mailing address
45 TIMBER RDG, MOUNT KISCO, NY 10549-3623
(516) 816-4931
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
023603
NY
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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