Individual
DANA ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
167 POINT ST, PROVIDENCE, RI 02903-4771
(401) 793-8808
Mailing address
117 ELLENFILED STREET, SUITE 101, PROVIDENCE, RI 02905-4034
(401) 444-6779
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS01982
RI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
10/16/2018
Last updated
09/16/2021
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