Individual
ROSA EILEEN ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1028 E OSCEOLA PARKWAY, KISSIMMEE, FL 34744
(407) 720-4651
Mailing address
407 CARAWAY DRIVE, KISSIMMEE, FL 34759
(407) 433-5021
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
004569
PR
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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