Individual
MS. CAROLYN M ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
700 E TOWNSHIP LINE RD, SUITE 101, HAVERTOWN, PA 19083-5733
(610) 853-2340
(610) 853-2343
Mailing address
700 E TOWNSHIP LINE RD, SUITE 101, HAVERTOWN, PA 19083-5733
(610) 853-2340
(610) 853-2343
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
CW014491
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7758293
AETNA
PA
Enumeration date
10/06/2006
Last updated
07/08/2007
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