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Individual

DR. JARED FREDERICK ROUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
1400 N KRAEMER BLVD #1435, PLACENTIA, CA 92871

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY31208
CA
103TC0700X
Clinical Psychologist
PSY31208
CA

Other

Enumeration date
11/06/2019
Last updated
11/06/2019
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