Individual
LINDA VANCE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
124 W THOMAS, CHILDREN'S REHABILITATION SERVICE, PHOENIX, AZ 85013
(602) 406-6455
(602) 406-7166
Mailing address
1719 E FRIER DRIVE, PHOENIX, AZ 85020-4413
(602) 678-1894
(602) 406-7166
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3045
AZ
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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