Individual
DR. MICHELLE LEE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
695 KINKAID RD, ANNAPOLIS, MD 21402-1006
(410) 293-3208
Mailing address
695 KINKAID RD, ANNAPOLIS, MD 21402-1006
(410) 293-3208
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
27632
CA
Other
Enumeration date
09/16/2015
Last updated
11/30/2022
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