Individual
TERRY D ROSEBOROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3667 N PLUM TREE AVE, RIALTO, CA 92377-2701
(909) 543-9974
(909) 316-8292
Mailing address
3667 N PLUM TREE AVE, RIALTO, CA 92377-2701
(909) 543-9974
(909) 316-8292
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
CA
103TC1900X
Counseling Psychologist
Primary
210038824
CA
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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