Individual
RACHEL ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4536 BARCLAY DR, ATLANTA, GA 30338-7145
(770) 458-8711
Mailing address
4536 BARCLAY DR, ATLANTA, GA 30338
(770) 458-8711
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003094
GA
Other
Enumeration date
03/06/2008
Last updated
03/06/2008
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