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DR. DONALD L ROSE PSY.D.

Clinical Neuropsychologist

Pompano Beach, Florida

Provider NPI: 1063461127

Provider Information:
DR. DONALD L ROSE PSY.D.
Gender: M
Sole Proprietor


Practice Location:
550 SW 3RD ST SUITE 304 POMPANO BEACH, FL 33060 US
Tel: 954-941-4388  Fax: 954-941-4389

Business Mailing Address:
550 SW 3RD ST SUITE 304 POMPANO BEACH, FL 33060 US
Tel: 954-941-4388  Fax: 954-941-4389

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
FLPY3878

Other Provider Identifiers:

IssuerNumberStateType
STATE / COUNTYPY0003878FL01
73326FL04
OTH000FL02
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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