Individual
MRS. SHEILA V ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
221 EIGHTH ST, MARLINTON, WV 24954
(304) 799-0815
(304) 799-0809
Mailing address
221 EIGHTH ST, MARLINTON, WV 24954
(304) 799-0815
(304) 799-0809
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
796
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810002572
—
WV
Enumeration date
09/28/2006
Last updated
09/06/2007
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