Individual
DR. MICHAEL CHET ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2525 BLUEBERRY RD, SUITE 107, ANCHORAGE, AK 99503-2621
(907) 277-0607
Mailing address
2525 BLUEBERRY RD, SUITE 107, ANCHORAGE, AK 99503-2621
(907) 277-0607
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
AA206
AK
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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