Individual
ELIZABETH MARIE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD LP
Contact information
Practice address
310 E BURLINGTON ST, SUITES 12 & 14, IOWA CITY, IA 52240-1668
(319) 337-3267
Mailing address
310 E BURLINGTON ST, SUITES 12 & 14, IOWA CITY, IA 52240-1668
(319) 337-3267
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00878
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19649
WELLMARK BCBS
IA
Enumeration date
01/24/2007
Last updated
07/08/2007
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