Individual
DR. FRAYDA ILENE ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1600 WEST UNIVERSITY AVENUE, STE 303, ST PAUL, MN 55104
(651) 644-1813
(651) 644-1870
Mailing address
1600 WEST UNIVERSITY AVENUE, STE 303, ST PAUL, MN 55104
(651) 644-1813
(651) 644-1870
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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