Rose, Phaedra Starr

Rose, Phaedra Starr is an individual health care provider with primary practice located at 1026 Cromwell Bridge Rd , Towson MD 21286-3318. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Rose, Phaedra Starr can be contacted via phone (410) 583-1515.

Contact Information

Primary practice address
1026 Cromwell Bridge Rd Towson MD 21286-3318
Phone: (410) 583-1515
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1164924098
LBN Legal business name Rose, Phaedra Starr
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2018
Last updated Mar 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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